妊娠期肝内胆汁淤积症终止妊娠的时机及方式的探讨

In gestational liver bile siltation sickness termination pregnancy opportunity and way discussion

目的：探讨妊娠期肝内胆汁淤积症（ICP）终止妊娠的时机、方式。方法：对本院2009年2月至2010年3月分娩的145例ICP进行回顾性分析，总结不同程度ICP终止妊娠的时机及方式的特点。结果：轻度ICP116例，剖宫产84例，自然分娩32例，孕周36-41周；重度ICP29例，剖宫产28例，自然分娩1例，孕周32-37周。结论：ICP多数以皮肤瘙痒为首发症状，胆汁酸（TBA）和肝酶升高有助于ICP的诊断。ICP早诊断、早治疗，即可降低对母婴的不良影响。产前分度诊断ICP有助于分娩方式和终止妊娠的时机的选择，降低围产儿死亡率。ICP患者尤其重度宜在34-36周择期剖宫产终止妊娠；轻度ICP可以在严密监护下足月自然分娩。

In goal discussion gestation period liver bile siltation sickness （ICP） termination pregnancy opportunity, way. Meth- ods：childbirth＇s 145 example ICP carries on the review analysis to this courtyard February, 2009 to March, 2010,summarizes the va- rying degree ICP termination pregnancy opportunity and the way characteristic. Results： Mild ICP116 example, splits the official to produce 84 examples,the natural labor 32 examples,are pregnant week for 36-41 weeks;The specific weight ICP29 example,the c --section 28 examples,the natural labor 1 example,is pregnant week for 32- 37 weeks. Conclusion： ICP most take the skin pruritus as the first round symptom, bile acid （TBA） and the liver enzyme elevates is helpful to the ICP diagnosis. ICP diagnoses early, treats early, then reduces to maternal infant＇s adverse effect. The pre--natal indexing diagnoses ICP to be helpful to the childbirth way and the termination pregnancy opportunity choice,reduces encircles the product mortality rate. The ICP patient specific weight picks an auspicious date suitably especially in 34-36 weeks the c--section termination pregnancy; Mild 1CP may under the strict guardian- ship the full--term natural labor.