妊娠合并病毒性肝炎的诊断和治疗效果分析
发布时间:2018-02-12 09:36
本文关键词: 妊娠 病毒性肝炎 诊断 治疗 出处:《中国全科医学》2017年S2期 论文类型:期刊论文
【摘要】:目的探讨妊娠合并病毒性肝炎的临床诊断,并分析其临床治疗效果。方法选取2013年12月—2015年12月期间临清市人民医院产科门诊部收治的74例妊娠合并病毒性肝炎患者(观察组)和同期进入医院治疗的54例普通乙型肝炎患者(对照组)作为研究对象,根据临床症状和体征结合实验室辅助检查确诊为乙型肝炎的患者积极给予综合治疗。观察患者经治疗后的治疗效果及在治疗过程中出现的不良反应发生情况。结果观察组感染、低蛋白症、肝肾综合征发生率高于对照组,差异有统计学意义(P0.05)。观察组的总有效率低于对照组,差异有统计学意义(P0.05)。观察组治疗过程中的不良反应发生率高于对照组,差异有统计学意义(P0.05)。结论妊娠合并病毒性肝炎经临床诊断后,应积极采取有效措施进行对症治疗,待患者的病情稳定后可根据患者的具体情况进行人工流产或助产,均可得到较好的预后,值得在临床上推广应用。
[Abstract]:Objective to investigate the clinical diagnosis of viral hepatitis in pregnancy. Methods from December 2013 to December 2015, 74 pregnant patients with viral hepatitis (observation group) and 54 patients admitted to hospital from December 2013 to December 2015 were selected from the outpatient department of obstetrical department of Linqing people's hospital. Ordinary hepatitis B patients (control group) were studied. According to the clinical symptoms and signs combined with laboratory auxiliary examination, the patients diagnosed with hepatitis B were given comprehensive treatment actively. The therapeutic effect and adverse reactions in the course of treatment were observed. Results the infection in the observation group, The incidence of low protein syndrome and hepatorenal syndrome was higher than that of the control group, and the difference was statistically significant (P 0.05). The total effective rate of the observation group was lower than that of the control group, and the difference was statistically significant (P 0.05). The incidence of adverse reactions in the observation group was higher than that in the control group. Conclusion after clinical diagnosis of pregnancy with viral hepatitis, effective measures should be taken to treat the disease actively, and abortion or midwifery can be carried out according to the specific condition of the patient after the patient's condition is stable. It is worth popularizing and applying in clinic.
【作者单位】: 山东省临清市人民医院;
【分类号】:R714.251
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