摘要
[目的]探讨妊娠期肝内胆汁淤积症(ICP)围生期的监测及护理。[方法]对131例ICP病例资料进行回顾性分析。[结果]共发现羊水胎粪污染49例,其中羊膜腔穿刺发现6例,人工破膜发现34例,剖宫产手术中发现4例,自然破膜发现5例。羊水污染率37.4%,早产率26.0%,剖宫产率62.6%,均高于同期分娩的非ICP病人(P<0.05),无围生儿死亡。[结论]对妊娠期肝内胆汁淤积症及早发现、正确处理及护理,避免胎儿宫内缺氧及胎儿死亡等不良后果发生。
Objective:To probe into the perinatal monitoring and nursing care of pregnant women with intrahepatic cholestasis (ICP).Methods:Clinical data of 131 pregnant women with intrahepatic cholestasis were analyzed retrospectively.Results:Among all 131 cases,49 cases were with meconium staining of amniotic fluid.Among them,6 cases were detected by amniocentesis,34 cases by induced rupture of membrane,4 cases by cesarean section and 5 cases by spontaneous rupture of membrane.The rate of amniotic fluid meconium staining was 37.4%.The rate of premature delivery was 26.0%.And the rate of cesarean section was 62.6%.All of which were significantly higher in ICP patients than that in normal pregnant population of the same gestational age(P〈0.05).There was no perinatal death.Conclusion:Early detection of intrahepatic cholestasis of pregnant women,and to handle and to provide nursing correctly may avoid badness consequence of fetal intrauterine hypoxia or fetal death.
出处
《全科护理》
2010年第27期2445-2446,共2页
Chinese General Practice Nursing
关键词
肝内胆汁淤积症
妊娠
护理
intrahepatic cholestasis
pregnancy
nursing