妊娠期肝内胆汁淤积症118例临床分析  

Clinical Analysis on Intrahepatic Cholestasis of Pregnancy (118 cases)

作　　者：谢艳芬[1] 李伟娣[1] 林新容[1] 邓裕辉 谢咏欣 

机构地区：[1]四会市妇幼保健院,广东四会526200 [2]四会市龙埔卫生院,广东四会526200

出　　处：《中国医药指南》2013年第4期53-54,共2页Guide of China Medicine

摘　　要：目的探讨妊娠期肝内胆汁淤积症(ICP)的病例特点和对母儿的不良影响。方法回顾分析本院近5年发生的118例ICP患者的临床资料、诊断、治疗和母儿预后,并将其分治疗组86例和未治疗组32例进行分析和总结。结果治疗组胎儿宫内窘迫,新生儿窒息,围生儿病死率明显少于未治疗组。结论对ICP进行早期诊断,治疗,适时终止妊娠能有效降低围生儿病死率和产后出血的发生率。Objective To research on the clinical characteristics ofintrahepatic cholestasis of pregnancy （1CP） and its negative effects on mother and child.. Method Analysis and summary are made after reviewing clinical statistics, diagnosis, treatment as well as maternal and fetal prognosis of 118 cases for the last 5 years in our hospital of ICP patients who were divided into a treated group （86 cases） and an untreated group （32cases）.Results Syndromes of fetal distress, asphyxia of newborn and perinatal mortality are much less found in the treated group than in the untreated group. Conclusion An early diagnosis and treatment on ICP and a timely termination of pregnancy can effectively lower the rate of perinatal mortality and postpartum hemorrhage.

关 键 词：妊娠期肝内胆汁淤积症 瘙痒 胆汁酸 早产 围生儿 

分 类 号：R714.25[医药卫生—妇产科学]