妊娠期肝内胆汁郁积症(ICP)与胎儿窘迫  

INTRAHEPATIC CHOLESTASIS OF PREGNANCY (ICP) AND FETAL DISTRESS

作　　者：林明杰[1] 杨锡蒂[1] 顾美礼[1] 陈代碧 王书彪 杨竹[1] 周瑾[1] 

机构地区：[1]重庆医科大学第二医院妇产科

出　　处：《重庆医科大学学报》1993年第4期264-267,共4页Journal of Chongqing Medical University

摘　　要：我院8年间住院分娩12526例,其中ICP100例次,发病率为0.80％。随机取同期产妇286例,妊高征63例进行对照分析。结果表明ICP组胎儿窘迫、羊水过少,足月低体重发生率分别为65.0%、12.0%、9.0%、均高于对照组的22.4%、1.1%、3.20%(P>0.005);ICP合并妊高征组与对照组胎儿窘迫的发生率分别为64.O%及44.4%(P>0.005);ICP组国产儿死亡5例,对照组无围产儿死亡,二者差异显著(P<0.005)。 5例围产儿死亡均发生在不规则宫缩或临产后,因此ICP时必须加强孕期、产前及产时的胎儿监护。This paper reported 12, 526 births including 100 ICP patients with mobility rate of 0.8% in our hospital during an eight-year period.286 rases of the maternity and 63 patients of the pregnancy induced hypertetion syndrom were analysed as control at the same time. The results showed that the morbility rate of the ICP group with fetal distress, oligohydramnios, and normal births low weight (each 65.0%, 12.0%, 9.0%) was higher than that of the con-trol group (each 22.4%, 1.1%, 3.2%) P<0.005. The morbility rate of the fetal diatress of ICP and control group was 64.0% a'nd 44.4%, (P>0.05) .There were 5 cases of the perinatal deaths of ICP group, but no death in the control group (P<0.005) . The 5 cases were all occured after uterine contractions, so the fetal monitor in the period of pregnancy, prebirth and birth must be accreted and pregnancy would be terminated in the moderate time

关 键 词：妊娠 胎儿窘迫 死亡 胆汁郁积症 

分 类 号：R714.2[医药卫生—妇产科学]