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不同程度妊娠期肝内胆汁淤积症对胎儿及新生儿的影响研究
引用本文:李将.不同程度妊娠期肝内胆汁淤积症对胎儿及新生儿的影响研究[J].中国当代医药,2011(30):11-12.
作者姓名:李将
作者单位:长沙湘雅一医院妇产科
摘    要:目的:探讨不同程度妊娠期肝内胆汁淤积症(ICP)对胎儿及新生儿的影响。方法:回顾性分析上述产妇围生期临床资料,比较正常产妇与不同程度ICP患者肝功能、胎儿宫内窘迫的发生、羊水污染状况、新生儿状况及新生儿并发症等。结果:无论轻度还是重度ICP组患者体内TBI水平均明显高于正常对照组,胎儿窘迫、羊水污染、新生儿窒息、新生儿低体重以及新生儿多种并发症的发生率明显升高,差异有统计学意义(P〈0.05),且与ICP患者的轻重程度呈正相关。结论:在妊娠晚期评估ICP患者病情严重程度,对及时治疗和选择安全有效的妊娠方式,减少ICP患者及新生儿不良事件的发生具有明确的临床意义。

关 键 词:妊娠  肝内胆汁淤积症  不同程度  围生儿结局

The influence of varying grading intrahepatic cholestasis of pregnancy on fetus and neonate
Authors:LI Jiang
Institution:LI Jiang The Obstetrics and Gynecology Department of the Frist Hosptial Affiliated with Xiangya Medical College, Hunan Province, Changsha 410011, China
Abstract:Objective: To research the influence of varying grading intrahepatic cholestasis of pregnancy (ICP) on fetus and neonate. Methods: The above puerpera perinatal's clinical data were retrospectively analyzed, and opportunity of pregnancy termination and perinatal outcome were compared between mild ICP and severe ICP. Results: No matter mild or severe ICP group in patients with TBI levels were significantly higher than that of normal control group, difference between the two groups was significant (P0.05). Conclusion: It is suggested to determine the opportunity of pregnancy termination and the modes of delivery according to different clinical grades and treatments of ICP.
Keywords:Pregnancy  Intrahepatic cholestasis  Varying grading  Pefinatal outcome
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