乙肝病毒感染女性妊娠期血脂异常对肝功能的影响及护理对策(1)
[摘要] 目的 通过调查分析乙肝病毒感染女性妊娠期血脂异常对肝功能的影响，提出相应的护理对策，为临床护理干预提供参考。方法 采用回顾性分析方法，调查收集2016年1月—2017年11月产科、肝病中心门诊及住院所有符合纳入标准的乙肝病毒感染女性妊娠期的血脂及肝功能情况，根据肝功能是否正常分为肝功能正常组及肝功能异常组，比较两组中血脂异常地发生率。结果 纳入151例，其中肝功能正常组53例、肝功能异常组98例，两组在年龄及胎次分组上差异无统计学意义(P=0.976、0.899 >0.05)，肝功能异常孕妇13.21%较肝功能正常孕妇血脂增高51.02%(χ2=20.929，P<0.01)。 结论 乙肝病毒感染女性妊娠期间，血脂升高的乙肝孕妇肝功能异常发生率高于血脂正常者。护理人员应针对性的给予乙肝孕妇提供饮食指导，加强宣教，对孕妇实施个体化饮食调控，减少肝功能异常的发生，降低妊娠风险。
[关键词] 乙肝病毒感染；妊娠期；血脂；护理对策
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2019)03(b)-0149-03
[Abstract] Objective To investigate the effects of dyslipidemia during pregnancy on liver function in women with hepatitis B virus infection， and propose corresponding nursing strategies to provide reference for clinical nursing intervention. Methods A retrospective analysis method was used to investigate the blood lipid and liver function of pregnant women with hepatitis B virus infection in the obstetrics， liver disease clinics and hospitalized hospitals from January 2016 to November 2017. According to whether the liver function was normal or not， they were divided into the normal liver function group and the abnormal liver function group， the incidence of dyslipidemia was compared between the two groups. Results 151 patients were included， including 53 patients with normal liver function and 98 patients with abnormal liver function. There were no statistically significant differences in age and parity between the two groups (P=0.976， 0.899>0.05). 13.21% of patients with normal liver function increased blood lipids by 51.02% (χ2=20.929， P<0.01). Conclusion During the pregnancy of women with hepatitis B virus infection， the incidence of liver dysfunction in pregnant women with elevated blood lipids was higher than that in normal blood lipids. Nursing staff should provide dietary guidance to pregnant women with hepatitis B， strengthen their education， implement individualized dietary regulation for pregnant women， reduce the occurrence of abnormal liver function， and reduce the risk of pregnancy.
[Key words] Hepatitis B virus infection； Pregnancy； Blood lipids； Nursing countermeasures
乙型病毒性肝炎是世界上广泛流行的疾病，据世界卫生组织报道，全球有20亿人感染过乙型肝炎病毒(HBV)。女性妊娠期血脂异常对肝功能和妊娠结局影响的研究目前主要集中于正常女性群体，较少关注到乙肝病毒感染的妊娠妇女，乙型病毒性肝炎是引起妊娠期肝功能异常的主要原因，可不同程度地增加妊娠及分娩时母子的危险性。该研究于2016年1月—2017年11月对这一特殊群体女性妊娠期生化指标的分析，探討血脂异常对肝功能的影响，提出相应的护理对策，为临床护理干预提供参考，报道如下。
1 对象与方法
1.1 研究对象
整群选取该时段产科、肝病中心门诊及住院的孕期女性为研究对象。纳入标准：确诊为确认妊娠合并乙肝病毒感染的孕妇。所选病例均经伦理委员会批准，且患者家属均知情同意。排除标准：①妊娠合并高血压征；②妊娠糖尿病；③妊娠期急性肝衰竭；④合并其他类型肝病传染病；⑤其他器官严重疾病、免疫系统疾病、精神病患者。, 百拇医药(王碧芬 林丽燕)
[关键词] 乙肝病毒感染；妊娠期；血脂；护理对策
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2019)03(b)-0149-03
[Abstract] Objective To investigate the effects of dyslipidemia during pregnancy on liver function in women with hepatitis B virus infection， and propose corresponding nursing strategies to provide reference for clinical nursing intervention. Methods A retrospective analysis method was used to investigate the blood lipid and liver function of pregnant women with hepatitis B virus infection in the obstetrics， liver disease clinics and hospitalized hospitals from January 2016 to November 2017. According to whether the liver function was normal or not， they were divided into the normal liver function group and the abnormal liver function group， the incidence of dyslipidemia was compared between the two groups. Results 151 patients were included， including 53 patients with normal liver function and 98 patients with abnormal liver function. There were no statistically significant differences in age and parity between the two groups (P=0.976， 0.899>0.05). 13.21% of patients with normal liver function increased blood lipids by 51.02% (χ2=20.929， P<0.01). Conclusion During the pregnancy of women with hepatitis B virus infection， the incidence of liver dysfunction in pregnant women with elevated blood lipids was higher than that in normal blood lipids. Nursing staff should provide dietary guidance to pregnant women with hepatitis B， strengthen their education， implement individualized dietary regulation for pregnant women， reduce the occurrence of abnormal liver function， and reduce the risk of pregnancy.
[Key words] Hepatitis B virus infection； Pregnancy； Blood lipids； Nursing countermeasures
乙型病毒性肝炎是世界上广泛流行的疾病，据世界卫生组织报道，全球有20亿人感染过乙型肝炎病毒(HBV)。女性妊娠期血脂异常对肝功能和妊娠结局影响的研究目前主要集中于正常女性群体，较少关注到乙肝病毒感染的妊娠妇女，乙型病毒性肝炎是引起妊娠期肝功能异常的主要原因，可不同程度地增加妊娠及分娩时母子的危险性。该研究于2016年1月—2017年11月对这一特殊群体女性妊娠期生化指标的分析，探討血脂异常对肝功能的影响，提出相应的护理对策，为临床护理干预提供参考，报道如下。
1 对象与方法
1.1 研究对象
整群选取该时段产科、肝病中心门诊及住院的孕期女性为研究对象。纳入标准：确诊为确认妊娠合并乙肝病毒感染的孕妇。所选病例均经伦理委员会批准，且患者家属均知情同意。排除标准：①妊娠合并高血压征；②妊娠糖尿病；③妊娠期急性肝衰竭；④合并其他类型肝病传染病；⑤其他器官严重疾病、免疫系统疾病、精神病患者。, 百拇医药(王碧芬 林丽燕)