首页|熊去氧胆酸联合腺苷蛋氨酸对妊娠期肝内胆汁淤积症患者临床症状改善、肝功能及妊娠结局的影响

熊去氧胆酸联合腺苷蛋氨酸对妊娠期肝内胆汁淤积症患者临床症状改善、肝功能及妊娠结局的影响

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目的 探讨熊去氧胆酸联合腺苷蛋氨酸治疗妊娠期肝内胆汁淤积症(ICP)患者的临床效果.方法 66 例ICP患者根据用药方式的不同分为两组,单一组给予熊去氧胆酸治疗,联合组给予熊去氧胆酸联合腺苷蛋氨酸治疗,比较两组的治疗效果.结果 联合组的黄疸和瘙痒症状消失时间均短于单一组,治疗后的ALT、AST、TBA水平以及不良妊娠结局总发生率均低于单一组(P<0.05).结论 熊去氧胆酸联合腺苷蛋氨酸可明显缩短ICP患者的症状改善时间,改善其肝功能,减少不良妊娠结局的发生.
Impact of Ursodeoxycholic Acid Combined with Adenosylmethionine on the Improvement of Clinical Symptoms,Liver Func-tion and Pregnancy Outcome of Patients with Intrahepatic Cholestasis of Pregnancy
Objective To explore the clinical effect of ursodeoxycholic acid combined with adenosylmethionine in the treatment of patients with intrahepatic cholestasis of pregnancy(ICP).Methods 66 patients with ICP were divided into two groups according to different medication methods.The single group was treated with ursodeoxycholic acid,and the combined group was treated with ursodeoxycholic acid combined with adenosylmethionine.The treatment effects of the two groups were compared.Results The disappearance time of jaundice and disappearance time of pruritus in the combined group were shorter than those in the single group,and the levels of ALT,AST and TBA after treatment,and the total incidence of adverse pregnancy outcomes were lower than those in the single group(P<0.05).Conclusions Ursodeoxycholic acid combined with adenosylmethionine can obviously shorten the symptom improvement time of ICP patients,improve their liver function and reduce the occurrence of adverse pregnancy outcomes.

Ursodeoxycholic acidAdenosylmethionineIntrahepatic cholestasis of pregnancyLiver functionPregnancy outcome

齐朋伟、张玉玲

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洛阳市妇幼保健院产科,河南洛阳 471000

熊去氧胆酸 腺苷蛋氨酸 妊娠期肝内胆汁淤积症 肝功能 妊娠结局

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(8)