摘要
目的观察妊娠期肝内胆汁瘀积症(ICP)对围生儿预后的影响及危害。方法:对186例住院分娩的妊娠期肝内胆汁瘀积症病例进行回顾性分析,并与正常孕妇对照研究。结果:妊娠期肝内胆汁瘀积症的早产率、产后出血量较正常孕妇组高(P<0.01),新生儿窒息率、围生儿死亡率、羊水污染率比正常孕妇组都高(P<0.05)。结论:妊娠期肝内胆汁瘀积症严重影响围生儿的预后,应早期诊断,积极治疗,严密监控以降低围生儿发病率及病死率。
Objective:To investigate the impact of intrahepatic cholestasis of pregnancy on perinatal prognosis of children. Methods: 186 cases with intrahepatic cholestasis of pregnancy in our hospital from 2008 to 2010 were retrospectively analyzed, normal pregnant were select for compara research. Results: Intrahepatic eholestasis of pregnancy can increase the incidence of preterm delivery,postpartum hemorrhage ( P 〈 0.01 ), neonatal asphyxia, perinatal infant death rate and amniotic fluid pollution rate ( P 〈 0. 05). Conclusion:Intrahepatie cholestasis of pregnancy seriously affect the prognosis of perinatal child and it should be early diagnosis, postive treatment and serious custodial care to reduce perinatal morbidity and mortality.