妊娠期急性脂肪肝100例临床分析.docVIP

精品论文 参考文献 妊娠期急性脂肪肝100例临床分析 （四川省医学科学院?四川省人民医院全科医学中心 四川 成都 610072） 　　【摘要】 目的：对妊娠期急性脂肪肝患者合并症的发生和高危因素进行临床分析。方法：选取2000年1月～2014年11月在我院进行治疗的妊娠期急性脂肪肝治疗患者100例，对合并症情况和发生因素进行分析。结果：100例妊娠期急性脂肪肝患者合并症(消化道出血、腹水、神经异常、腹腔出血等)发生比例情况明显升高，差异性明显，存在统计学意义（Plt;0.05）.初产妇发病比例显著高于经产妇；高龄产妇发病比例显著高于低龄产妇；剖宫产手术比例显著高于阴道分娩，同时肥胖患者、存在肝损伤患者发病比例显著增高，差异性明显，存在统计学意义（Plt;0.05）.结论：对于高龄初产妇，在妊娠36plusmn;2周患者，尤其对存在肝脏损伤和肥胖的患者均应注意观察急性脂肪肝的发生和预防其发生，合理化饮食，改善患者的生活质量，有效提高孕产妇的安全性。 　　【关键词】 妊娠期；急性脂肪肝；肝脏损伤；剖宫产 　　【中图分类号】R714 【文献标识码】A 【文章编号】2095-1752（2016）26-0137-02 　　Clinical analysis of 100 cases of acute fatty liver of pregnancy Jiang Xialan,Yang Fan,Wang Jia,Li Jian,Wang Xiang. 　　Center of General Practice,Sichuan Academy of Medical Sciences amp; Sichuan Provincial Peoplersquo;s Hospital 　　【Abstract】Objective clinical analysis of acute fatty liver of pregnancy patients. Methods From 2000 January to 2014 November in our hospital for treatment of pregnancy in 100 cases during acute treatment of patients, all were observed and compared the incidence and prognosis. Results 100 cases of acute fatty liver of pregnancy in patients with complications of gastrointestinal bleeding, ascites, neurological abnormalities, intraperitoneal hemorrhage ratios were higher than that of no proportion, the difference obviously, there were statistical significance (Plt;0.05). The early maternal morbidity proportion was significantly higher in parous women; maternal age incidence rates were significantly higher than the low age below pregnant women; caesarean operation ratio was significantly higher than vaginal delivery, the difference obviously, there were statistical significance (Plt;0.05). Conclusion For the elderly primipara, in 36 plusmn;2 weeks of pregnancy patients, especially for the presence of liver damage and obese patients should pay attention to observe the occurrence of acute fatty liver and prevent its occurrence, rationalization diet, improve the quality of life of patients, impro