【摘要】 ①目的　调查不同饮食营养结构对新生儿腹泻的影响。②方法　采用 2 4h膳食回顾法调查 1 0 0例健康足月初产妇在妊娠期的膳食构成 ,按不同膳食结构分为 4个组 ,用Gertal Roger法分析母乳脂肪含量并检测产后 1d血清胆固醇、三酰甘油水平。③结果　蛋白质 +碳水化合物组产后 1d血清胆固醇、三酰甘油明显高于碳水化合物组、碳水化合物 +纤维素组、蛋白质 +碳水化合物 +纤维素组 (F =4 .77、1 2 .85 ,q =3.1 5～ 8.31 ,P <0 .0 1 )。初乳期母乳脂肪含量与母体血脂水平呈正相关 (r =0 .2 0 9～ 0 .31 1 ,P <0 .0 1 )。新生儿生理性腹泻组与对照组相比母体血清胆固醇、三酰甘油含量明显增高 (t=3.5 4、6 .86 ,P <0 .0 1 )。④结论　孕妇高纤维素饮食有利于减少乳汁中的脂肪含量 ,降低新生儿腹泻的发生率更多还原

【Abstract】 Objective To investigate the effect of different nutritional composition of the pregnant women on the incidence of infant physiological diarrhea. Methods One hundred healthy subjects were divided into four groups. 24-hour food review for nutritional composition was used. The lipid was analyzed for breast milk by using Gertal-Roger method. Results The cholesterol and triglyceriede levels in the Protein + Carbohydrate group was higher than those in Carbohydrate, Carbohydrate + Fibril,and the Protein+ Carbohydrate+ Fibril groups ( F=4.77,12.85;q=3.15-8.31;P <0.01), respectively. The lipid level in the breast milk was correlated with the serum lipid level( r=0.209-0.311,P <0.01). High lipid level in the serum could be found in the group with higher occurrence of physiological diarrhea than that of the control ( t=3.54,6.86; P <0.01 ). Conclusion High level of fibril in nutritional composition may decrease the lipid level in breast milk, and thus to lower the occurrence of newborn physiological diarrhea.更多还原