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目的:评估熊去氧胆酸(UDCA)治疗妊娠期肝内胆汁淤积症(ICP)的效果。方法:选择60例ICP病人,分成两组,观察组(n=30)采用UDCA100mg每日3次,对照组(n=30)采用黄疸茵陈冲剂20g每日3次,观察治疗效果。结果:观察组瘙痒评分治疗1周后明显下降,血ALT、TBA、CHO、TG也明显下降(P<005),而对照组下降缓慢,同时还发现观察组产时缺氧发生率低,孕周较长,新生儿体重较重,剖宫产率较低,P<005。结论:UDCA是治疗ICP安全有效的药物。
Objective: To evaluate the effect of ursodeoxycholic acid (UDCA) on intrahepatic cholestasis of pregnancy (ICP). Methods: Sixty patients with ICP were divided into two groups. The observation group (n = 30) received UDCA100mg three times a day, while the control group (n = 30) used jaundice Yinchen granules 20g three times daily to observe the therapeutic effect. Results: The score of pruritus in observation group decreased significantly after 1 week of treatment, and the levels of ALT, TBA, CHO and TG were also decreased (P <005), while the control group decreased slowly. The incidence of hypoxia in observation group was also lower , Gestational age longer, heavier newborns, cesarean section rate was lower, P <0 05. Conclusion: UDCA is a safe and effective drug for the treatment of ICP.