目的研究中西医结合治疗（IC P ）妊娠肝内胆汁淤积症的临床疗效。方法2008年2月至2012年2月在恩施州中心医院妇产科IC P患者184例，分为中医组（90例）和中西医结合组（94例），对临床资料进行回顾和分析。结果中医组90例中，早产儿16例（17．78％），胎儿宫内窘迫12例（13．33％），剖宫产59例（65．56％），1例围产儿死亡（1．11％），产后出血3例（3．33％）。中西医结合组94例中，17例早产（18．09％），胎儿宫内窘迫14例（14．89％），剖宫产60例（63．83％），产后出血2例（2．13％）。两组患者妊娠结果差异均有统计学意义。结论早期诊断、综合治疗、密切监测、及时终止妊娠是降低IC P患者围生儿死亡和产后出血的主要措施。%Objective To study the clinical efficacy of combined treatment of traditional Chinese medicine and western medicine on intrahepatic cholestasis of pregnancy (ICP) .Methods 184 cases of ICP ,treated in this hospital from Feb .2008 to Feb .2012 ,were divided into control group ,receiving traditional Chinese medicine therapy (90 ca-ses) ,and observation group ,receiving combined therapy (94 cases) ,and clinical data of the two groups were retro-spectively analyzed .Results The cases of fetal distress ,perinatal deaths and incidence of postpartum hemorrhage in observation group was significantly lower than control group .Conclusion Early diagnosis ,comprehensive treatment , monitoring of disease condition and timely termination of pregnancy might be the main measures to reduce perinatal deaths and postpartum hemorrhage .
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