妊娠合并肝功能损害对妊娠结局的影响分析

发布时间：2018-03-26 07:36

本文选题：妊娠　切入点：肝功能损害　出处：《临床医药文献电子杂志》2016年32期

【摘要】：目的分析妊娠合并肝功能损害对妊娠结局的影响。方法选取我院2013年1月~2015年10月收治的妊娠合并肝功能损害患者83例作为研究对象,采集患者临床资料回顾分析,探究妊娠合并肝功能损害临床表现、并发症以及对母体和胎儿的影响。结果妊娠高血压综合征在中、晚期妊娠易发,晚期妊娠比中期妊娠发病率高;病毒性肝炎早、中、晚期妊娠都有机率发病,但是晚期妊娠发病机率更高;妊娠期肝内胆汁淤积症在中、晚期妊娠均会发病,晚期妊娠发病占比大;妊娠剧吐早期妊娠发病多于中期妊娠;妊娠合并肝功能损害容易引发胎膜早破、胎儿窘迫、早产,导致剖宫产机率高,产后出血机率大;新生儿Apgar评分低于正常妊娠分娩新生儿。结论妊娠合并肝功能损害会增加胎膜早破、胎儿窘迫、高血压病、早产、剖宫产、产后出血的机率,会影响新生儿Apgar评分,引发妊娠不良结局,临床治疗时,尽早明确诊断,根据病因对症处理,最大限度保障母体及胎儿健康。
[Abstract]:Objective to analyze the effect of pregnancy complicated with liver function damage on the outcome of pregnancy. Methods 83 cases of pregnancy complicated with liver function were selected from January 2013 to October 2015, and their clinical data were analyzed retrospectively. To explore the clinical manifestations, complications and effects on mother and fetus of pregnancy complicated with liver function damage. Results pregnancy hypertension syndrome is easy to occur in middle and late pregnancy, and the incidence of late pregnancy is higher than that of second trimester pregnancy. The incidence of late pregnancy is higher than that of late pregnancy. Intrahepatic cholestasis of pregnancy occurs in middle and third trimester pregnancy, the incidence of late pregnancy is large, the incidence of early pregnancy with hyperemesis is more than that of second trimester pregnancy. Pregnancy complicated with liver function damage may lead to premature rupture of membranes, fetal distress, premature delivery, leading to a high chance of cesarean section and postpartum hemorrhage. Conclusion the incidence of premature rupture of membranes, fetal distress, hypertension, preterm delivery, cesarean section and postpartum hemorrhage may be increased during pregnancy combined with liver dysfunction. The adverse outcome of pregnancy, clinical treatment, early diagnosis, according to the cause of treatment, maximum protection of maternal and fetal health.
【作者单位】：福建省妇幼保健院;
【分类号】：R714.255

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