养血祛风法结合思美泰辨治妊娠期肝内胆汁淤积症  

Treatment of combined blood-raising and wind-dispelling method and SAMe for intrahepatic cholestasis of pregnancy

作　　者：章建朝[1] 罗梅[1] 

机构地区：[1]重庆市第一人民医院妇产科,400011

出　　处：《重庆医学》2005年第4期583-584,共2页Chongqing medicine

摘　　要：目的　评估养血祛风法结合思美泰治疗妊娠期肝内胆汁淤积症(ICP)的效果。方法　选择80例ICP病人,随机分成两组,治疗组采用养血祛风基本方结合思美泰治疗,对照组单纯运用思美泰治疗。治疗2周后观察瘙痒症状,血清生化指标(总胆汁酸、转氨酶),分娩后比较两组围生儿预后情况。结果　治疗组瘙痒症状、总胆汁酸、转氨酶均较治疗前明显改善(P<0.05 ,并对控制瘙痒效果明显,而对照组下降较缓慢。治疗组围生儿预后较对照组良好,差异显著(P<0.05)。结论　养血祛风法结合思美泰疗法对母儿无不良反应,是治疗ICP安全有效的方法。Objective To evaluate the therapeutic effect of combined blood-raising and wind-dispelling method and SAMe in treating intrahepatic cholestasis of pregnancy (ICP).Methods Eighty in-patients of ICP were randomly divided into two groups, the investigation group treated with combined blood-raising and wind-dispelling method and SAMe, the contrast group treated with SAMe. The symptom of itching and serum biochemical indexes were observed after 2 weeks treatment, and the prognosis of perinatal newborn babis between the two groups was compared after delivery.Resuls In investigation group the symptom of itching,TBA,ALT improved significantly (P<0.05),and the prognosis of perinatal newborn in investigation group was also improved significantly(P<0.05).Conclusion Combined blood-raising wind-dispelling method and SAMe treatment of ICP shows little side effect to pregnant women and newborn babies,it can be an effect method of safety in treatment of ICP.

关 键 词：妊娠期肝内胆汁淤积症 养血祛风法 S-腺苷蛋氨酸 中西医结合 

分 类 号：R271.9[医药卫生—中西医结合]