[1]李萍,陈红,赵虎,等.妊娠期肝内胆汁淤积症患者的分娩方式探讨[J].中国计划生育和妇产科,2014,(05):0.
　LI Ping,CHEN Hong,ZHAO Hu,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2014,(05):0.
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妊娠期肝内胆汁淤积症患者的分娩方式探讨
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2014年05期
页码:
0
栏目:
论著与临床
出版日期:
2014-10-31

文章信息/Info

作者:
李萍; 陈红; 赵虎; 张强
成都市妇女儿童中心医院产科；
Author(s):
LI Ping;CHEN Hong;ZHAO Hu;ZHANG Qiang;
Department of Obstetrics,Chengdu Women and Children’s Central Hospital;
关键词:
妊娠期肝内胆汁淤积症; 阴道分娩; 妊娠结局
分类号:
R714.7
摘要:
目的研究妊娠期肝内胆汁淤积症(intrahepatic cholestasis of pregnancy,ICP)患者的分娩方式及妊娠结局。方法选取152例ICP孕妇为研究对象,分为轻度组83例,重度组69例;随机抽取80例同期经阴道分娩的正常孕妇为对照组,比较妊娠结局。结果经阴道分娩产妇胎儿窘迫、新生儿窒息及围生儿死亡发生率重度ICP组高于轻度ICP组和对照组(P<0.05);轻度ICP组与对照组围生儿不良结局比较,差异无统计学意义(P>0.05)。轻度ICP组阴道分娩与剖宫产分娩者比较,羊水粪染及新生儿窒息率差异无统计学意义(P>0.05),剖宫产产妇产后出血率高于阴道分娩产妇(P<0.05)。结论轻度ICP患者可适当延长孕周,待产程发作后严密监测下经阴道试产,重度ICP适时剖宫产终止妊娠。

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更新日期/Last Update: 2014-10-30