中西医结合治疗妊娠期胆汁淤积症79例临床观察

发布时间：2018-05-03 21:14

本文选题：妊娠期胆汁淤积症 + 中西医结合综合治疗　；参考：《时珍国医国药》2009年09期

【摘要】：目的了解中西医结合综合治疗妊娠期胆汁淤积症(Interahepatic Cholestasis of Pregancy,ICP)对降低ICP围产儿死亡率、减少并发症的临床意义,强调围产期保健的重要作用。方法对2007-01~2007-12期间建围产期保健卡的1 754例孕妇中发现的79例ICP患者进行血清胆酸的动态观察,早期诊断、产前监测、中西医结合综合治疗、适时中止妊娠。综合分析围产儿以及孕产妇情况。结果新生儿窒息发生率为9.37%,低于国内11.7%的报告。围产儿死亡率1.6%,明显低于文献报告。产后出血发生率4.7%,低于文献报告的19.0%~22.2%。结论中西医结合的综合治疗对降低ICP围产儿死亡率、减少并发症与传统西医治疗的疗效相比具有较为显著的差异。早期诊断、产前监测以及适时中止妊娠在维护母儿健康上同样是必不可少的环节。
[Abstract]:Objective to understand the clinical significance of integrated treatment of interahepatic Cholestasis of Pregancyoma in the treatment of ICP perinatal mortality and complications, and to emphasize the important role of perinatal care in the perinatal period. Methods 79 cases of ICP who were found in 1 754 cases of perinatal health care card during 2007-01 / 12 were observed dynamically in serum, early diagnosis, prenatal monitoring, integrated treatment of traditional Chinese and western medicine, and timely termination of pregnancy. Comprehensive analysis of perinatal and maternal conditions. Results the incidence of neonatal asphyxia was 9.37%, which was lower than that reported in China (11.7%). The perinatal mortality rate of 1.6 was significantly lower than that reported in the literature. The incidence of postpartum hemorrhage was 4. 7%, lower than that of 19. 0% and 22. 2% reported in the literature. Conclusion the combined treatment of traditional Chinese and western medicine has significant difference in reducing perinatal mortality and complications of ICP compared with traditional western medicine. Early diagnosis, prenatal monitoring and timely termination of pregnancy are also essential for maternal and child health.
【作者单位】：湖北省黄石市妇幼保健院;
【分类号】：R714.25

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