妊娠期肝内胆汁淤积150例临床分析

Yi-ling Ding, Ling-ling Tan, Wen Deng
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引用次数: 0

摘要

目的:探讨妊娠肝内胆汁淤积症(ICP)对母胎的影响,探讨非应激试验的临床应用价值。方法:回顾性分析我院150例ICP患者的临床症状、生化检查、胎儿监护及妊娠结局。结果:孕妇出现皮肤瘙痒时血清胆酸、谷丙转氨酶、总胆红素与胎龄无线性关系,而新生儿状态、羊水粪染与瘙痒发作时间呈正相关。产后出血量与新生儿Apgar评分无相关性。围生期预后、非应激试验中正常与异常的皮肤外观无显著差异。结论:瘙痒可能是ICP患者状态的一个标志。仔细监测、全面持续评估胎儿状态,适时终止妊娠对改善围生儿预后非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Clinical analysis of intrahepatic cholestasis during pregnancy in 150 patients].

Objective: To explore the effect of intrahepatic cholestasis of pregnancy (ICP) on the mother and fetus, and to assess the clinical value of nonstress test.

Methods: The symptoms, biochemical examinations, fetal monitoring, and pregnant outcomes of 150 patients with ICP were analyzed retrospectively in our hospital.

Results: There was no linear relation among serum cholanic acid, glutamic-pyruvic transaminase, total bilirubin, and gestational age when skin pruritus of pregnant women appeared, but there was positive correlation among the neonate status, meconium-stained amniotic fluid, and the onset time of pruritus. There was no correlation between the amount of postpartum hemorrhage and the newborn Apgar scores. No significant difference was found in perinatal prognosis The appearance of skin between normal and abnormal outcomes in the nonstress test.

Conclusion: pruritus can be a sign of the state of ICP patients. To carefully monitor and comprehensively and continuously estimate the fetal state, and to terminate the pregnancy at proper time are very important to improve the prognosis of perinatal infants.

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