妊娠肝内胆汁淤积症对围生儿的影响  

The Influence of Intrahepatic Cholestasis of Pregnancy(ICP)on Perinatal Infant

作　　者：卞亚新 

机构地区：[1]江苏省启东市第三人民医院妇产科,226200

出　　处：《医学理论与实践》2005年第12期1404-1405,共2页The Journal of Medical Theory and Practice

摘　　要：目的:探讨妊娠肝内胆汁淤积症(ICP)对围生儿的影响。方法:分别对60例ICP患者及围生儿情况与同时随机抽查30例正常妊娠分娩组(对照组)的临床资料、新生儿脐血血气资料进行分析比较。结果:ICP组胎儿缺氧高于对照组,脐动脉血气呈呼吸性酸中毒改变。ICP组新生儿体重分娩孕周低于对照组(P<0.05),ICP组羊水污染明显高于对照组(P<0.05)。ICP组中胎儿窘迫、早产儿明显增加。结论:ICP时羊水胎粪污染增多,胎儿缺氧,应适时终止妊娠,减少对围生儿的影响。Objective： To explore the influence of intrahepatic cholestasis of pregnancy（ICP） on perinatal infant. Methods： The clinical data of 60 cases of ICP and 30 cases of normal childbirth and the navel blood gas data of their perinatal infants and a neonates were analysed. Results： In ICP group the hypoxia was more severe, the blood gas in the umbilical arteries showed respiratory acidosis, the newborn＇ s weight in ICP group was lower, （ P 〈0.05）,and amniotic fluid pollution was more serious than that in control group （P〈 0.05）. soin ICP group the incidences of fetal distress in uterus and premature were remarkably high. Conclusion： If pregnant woman devecops ICP, the foetus is easily pollated by amniotic fluid and excrement, as a resalt, the foetus may experience anoxia, such being the case, the pregnancy should be cutshort.

关 键 词：妊娠 胆汁淤积 胎儿缺氧 

分 类 号：R714.7[医药卫生—妇产科学]