ICP孕妇伴胆红素升高与围产儿预后的关系

摘要

Objective To investigate the relationship between the bilirubin's ascensus of the pregnant with ICP and the perinatar outcome. Methods Pregnant women with ICP included in this study were divided into two groups,21 cases with high bilirubin level in the treatment group,and 56 cases with normal level as the control group, then the fetal outcomes of the two groups were analyzed. Results Incidences of meconium passage,fetal distress, premature delivery, asphyxia of newborn and fetal death(stillbirth) in treatment goup respectively are 61.90％ ,28.57％ ,9.52％ ,14.29％ ,4.76％ ,which are all higher than the ones in controt group (P＜0.05). Conclusion The higher the bilirubin level is,the more probability of perinatal having ill outcome.%目的 研究肝内胆汁淤积症(ICP)孕妇伴胆红素升高与围产儿预后的关系.方法 选择2008年1月至2010年12月该院住院分娩的ICP孕妇伴胆红素水平升高21例为治疗组,ICP孕妇胆红素水平正常56例为对照组,比较两组围产儿的预后.结果 治疗组围产儿羊水胎粪污染、胎儿窘迫、早产、新生儿窒息及死胎(死产)的发生率分别为61.90%、28.57%、9.52%、14.29%、4.76%,均高于对照组(P＜0.05).结论 ICP孕妇胆红素水平升高者围产儿不良结局的发生率明显较高.