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【目的】探讨孕期膳食指导对脂代谢及妊娠并发症的影响。【方法】选取血脂异常增高的孕妇80例，根据孕妇在后期接受的膳食不同分为两组，每组40例，在孕32周接受膳食指导的孕妇为观察组，不接受膳食指导的孕妇为对照组，比较两组患者孕32周及分娩前血浆总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、三酰甘油(TG)水平和妊娠相关并发症与新生儿状况。【结果】在孕32周时，两组孕妇的 HDL-C 及 LDH-C 含量的差异无统计学意义(P >0.05)，但观察组 TG、TC 含量显著低于对照组，其差异均有统计学意义(P 0.05)，观察组 TG、TC 含量显著低于对照组，而 HDL-C 含量显著高于对照组孕妇，其差异均有统计学意义(P 0.05),while the content of TG and TC of the observation group were significantly lower than that of the control group,and the difference was statistically significant (P 0.05),the con-tent of TG and TC of the observation group were significantly lower than that of the control group,and the content of HDL-C of the observation group was significantly higher than that of the control group,and the difference was statistically significant (P <0.05).Body weight of the neonates in the observation group was significantly higher than that of the control group,but the proportion of neonatal hypoglycemia was lower than that of the control group,the difference had statistical significance (P 0.05).[Conclusion]Reasonable dietary guidance for pregnant women with dyslipidemia increased during early pregnancy can effectively improve the lipid metabolism,reduce pregnancy related complications,and is worthy of clinical application.