妊娠期高血压的营养治疗

妊娠期高血压疾妊娠期高血压疾病的营养第1妊娠期高血压疾病的临床诊疗概PrevalenceofHDPsin妊娠期高血压疾病（hypertensivedisordersofpregnancy,HDP） Globalandregionalestimatesofpreeclampsiaandeclampsia:asystematicreview.EurJObstetGynecolReprodBiol.2013Sep;170(1):1-PrevalenceofHDPsin我国HDP的发生率约为5%~12Epidemiologyofhypertensivedisordersinpregnancy:prevalence,riskfactors,predictorsandprognosis.HypertensionResearch(2016),DistributionofcausesofdeathsbyMillenniumDevelopmentGoalHypertensionwassecondmostcommondirectcauseofmaternalmortalityworldwide(14.0%,11.1-17.4).Globalcausesofmaternaldeath:aWHO ysis.LancetGlobHealth.FetalMaternalcomplicationsandperinatalmortality:findingsoftheWorldHealthOrganizationMulticountrySurveyonMaternaandNewbornHealth.BGOJ.2014Mar;121Suppl1:76-妊娠期高血压 （一）妊娠期高血压(gestational（二）子痫前期-子痫(preeclampsia-（三）妊娠合并慢性高血压(chronichypertensionin（四）慢性高血压并发子痫前期chronichypertensionwithsuperimposedpreeclampsia)————中华医学会(2015).妊娠期高血压疾病指Maternalandfetalcomplicationsinseverepre-Population-basedtrendsinpregnancyhypertensionandpre-eclampsia:aninternationalcomparativestudy.BMJOpen.Diagnosis,evaluation,andmanagementofthehypertensivedisordersofpregnancy.PregnancyHypertension:AnInternationalJournalofWomen’sCardiovascularHealth.2014;4:105-Managementofhypertensionin HypertensiveDisorderofPregnancy.QueenslandClinicalPreeclampsiaRiskModifiable Alcohol

UnmodifiableMaternalMultiplePreviousexperienceofpregnant Preexisting FamilyGeneticEpidemiologyofhypertensivedisordersinpregnancy:prevalence,riskfactors,predictorsandprognosis.HypertensionResearch(2016),妊娠期高血压疾病的营养治第2妊娠期高血压疾病的医学营养指南推荐的预防子痫前期的营养干 ----------x----xx---- “±”表示没有充足的“x”表示不推指南推荐的预防子痫前期的营养干 2015-----2016---±-±±2014x±±-x2013-x-1.5---x “±”表示没有充足的“x”表示不推mendedDailyIntakeDuringCurrentConceptsofMaternalNutrition.ObstetGynecolCurrentConceptsofMaternalCurrentConceptsofMaternal.Nutrition.ObstetGynecolEvidence-BasedNutritionPracticeGuidelinefortheManagementofHypertensioninAdultsEvidence-BasedNutritionPracticeGuidelinefortheManagementofHypertensioninAdults. ysisLibraryDASH（DietaryApproachestoStop 适当增A和和矿物 妊娠期高血压疾病的营养治第3妊娠期高血压疾病的营养治疗医学营养治疗本 营养评营养诊效果营养营养评营养诊效果营养干病体格检的营养状能量和营养素摄入是否合

的营养状能量和营养素摄入是否合营养治疗方案的制营养治疗的途营养治疗方案的制营养摄入量的计算依营养治疗方案的制营养摄入量的计算——膳人群人群能碳水蛋白18-50孕早孕晚总每份种质份米面8蔬菜（叶菜蔬菜（瓜类0000水果11豆0000全脂奶0000低脂奶整4651蛋00000鱼虾鸡鸭畜肉类（瘦00000畜肉类（肥瘦0000坚果731油脂00盐5其能N总能量蛋白质化合物营养治疗方案的制营养摄入量的计算——膳食处方（及（kcal）占比饮食营养治疗方案的制营养摄入量的计算——EN、饮食记录及血压的监营养再评营养评营养诊效果营养营养评营养诊效果营养干案例分73→75→76.5→141/88基本情况73→75→76.5→141/88

150→225脂肪蔬菜蔬菜(瓜类水果类豆制品奶类