论文部分内容阅读
目的:探讨妊娠期肝内胆汁淤积症(ICP)孕妇肝功能与围产儿结局的关系。方法:将2003年8月至2004年10月在我院确诊并住院分娩的ICP孕妇170例,根据肝功能各指标高低分为轻-中度ICP组与重度ICP组,对肝功能各项指标与围产儿预后之间的关系进行分析。结果:ICP孕妇肝功能损害越大,胎儿羊水粪染、胎儿宫内窘迫、早产的发生率越高(P<0.05),新生儿窒息程度越重。结论:应加强产前门诊对ICP疾病的认识,做到早发现、早治疗,严密监护,一旦时机成熟,及时终止妊娠,以改善胎儿预后,减少不良妊娠结局。
Objective: To investigate the relationship between liver function and perinatal outcome in pregnant women with intrahepatic cholestasis of pregnancy (ICP). Methods: From August 2003 to October 2004 in our hospital diagnosed and hospitalized in pregnant women, 170 cases of ICP, according to the level of liver function indicators were divided into mild to moderate ICP group and severe ICP group, the liver function indicators And the relationship between the prognosis of perinatal analysis. Results: The greater the liver damage in ICP pregnant women, the higher the incidence of fetal amniotic fluid meningitis, fetal distress and premature delivery (P <0.05), and the heavier neonatal asphyxia. Conclusion: The knowledge of prenatal outpatient diagnosis of ICP disease should be strengthened. Early detection, early treatment and close monitoring should be strengthened. Once the time is right, the pregnancy should be terminated in time to improve fetal prognosis and reduce adverse pregnancy outcomes.