血脂管理中的女性健康考量

Women's Health Considerations for Lipid Management.

作者信息

Wild Robert, Weedin Elizabeth A, Gill Edward A

机构信息

Section of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, 1100 N Lindsay Ave, Oklahoma City, OK 73104, USA.

Section of General Obstetrics and Gynecology, Department of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, 1100 N Lindsay Ave, Oklahoma City, OK 73104, USA.

出版信息

Cardiol Clin. 2015 May;33(2):217-31. doi: 10.1016/j.ccl.2015.02.003.

DOI:10.1016/j.ccl.2015.02.003

PMID:25939295

Abstract

Understanding opportunities to reduce dyslipidemia before, during, and after pregnancy has major implications for cardiovascular disease risk prevention for the entire population. The best time to screen for dyslipidemia is before pregnancy or in the early antenatal period. The differential diagnosis of hypertriglyceridemia in pregnancy is the same as in nonpregnant women except that clinical lipidologists need to be aware of the potential obstetric complications associated with hypertriglyceridemia. Dyslipidemia discovered during pregnancy should be treated with diet and exercise intervention, as well as glycemic control if indicated. A complete lipid profile assessment during each trimester of pregnancy is recommended.

摘要

了解在孕前、孕期和产后降低血脂异常的机会对整个人口的心血管疾病风险预防具有重大意义。筛查血脂异常的最佳时间是孕前或孕早期。孕期高甘油三酯血症的鉴别诊断与非孕妇相同，只是临床脂质学家需要意识到与高甘油三酯血症相关的潜在产科并发症。孕期发现的血脂异常应通过饮食和运动干预进行治疗，如有指征还应进行血糖控制。建议在孕期的每个阶段进行完整的血脂谱评估。