131例妊娠期肝内胆汁淤积症患者的护理  

Nursing of 131 patients with intrahepatic cholestasis of pregnancy

作　　者：冉开琼[1] 骆书菊[1] 王敏[1] 张江容[1] 

机构地区：[1]遵义医学院附属医院产科,贵州遵义563003

出　　处：《南方护理学报》2004年第1期12-13,共2页Nanfang Journal of Nursing

摘　　要：目的降低妊娠期肝内胆汁淤积症(ICP)患者母儿并发症的发生。方法对131例ICP孕产妇进行孕期、产时及产后严密的观察和护理,有针对性地进行ICP有关知识宣教;动态监测孕妇血中胆汁酸、转氨酶及胆红素水平;加强胎儿监护,及早发现隐性胎儿窘迫,适时终止妇娠。结果131例ICP患者母儿健康和安全都不同程度地受到了危害,但通过严密的观察和精心的护理,母儿并发症的发生较文献报道有较大程度的降低。结论必须重视孕产期保健,早发现、早治疗ICP,严密观察和精心护理对降低患者母儿并发症有积极作用。Objective To lower the incidence rate of mother and fetuscomplicationsin patientswith intrahepatic cholestasisof preg-nancy(ICP).Methods131casesof pregnant and partal women were elaborately nursed and observed during their pregnancy,deliv-ery and post-parturition.Education about ICP knowledge wascarried out.Their blood bile acids,transaminase and bilirubin were dynamically monitored.The monitoring of fetuseswasintensified to find invisible fetal distressand terminate pregnancy at right time.ResultsICP wasobserved to endanger the health of mothersand fetuses,but close observation and careful nursing reduced mother and fetus'scomplicationsto larger extent than reported in literature.Conclusion Importance should be attached to pregnant and parturient health so asto discover and treat ICP asearly aspossible.Close observation and careful nursing actively prevent mother and fetus'scomplications.

关 键 词：妊娠期盱内胆汁淤积症 ICP 并发症 高危妊娠 护理 临床资料 

分 类 号：R714.255[医药卫生—妇产科学] R473.71[医药卫生—临床医学]