论文部分内容阅读
目的:分析肝内胆汁淤积症(IC)孕妇伴乙型肝炎病毒(HBV)感染对新生儿和妊娠结局的影响,为临床采取合理的护理干预措施和改善妊娠结局提供参考。方法:选取医院2012年1月—2014年12月间收治的IC伴HBV感染孕妇60例为研究组,同时选取同期医院收治的单纯IC孕妇45例为对照组;采用回顾性分析法,比较两组孕妇妊娠并发症的发生情况和新生儿结局,以及新生儿HBV宫内感染的发生情况。结果:研究组孕妇妊娠并发妊娠高血压症(发生率为23.33%)、早产(发生率为28.33%)和产后出血(发生率为33.33%),均明显高于对照组(P<0.05);研究组孕妇新生儿并发宫内窘迫症(发生率为20.00%)、低体质量儿(发生率为26.67%)和黄疸(发生率为25.00%),均明显高于对照组(P<0.05);研究组孕妇HBV宫内感染率为11.67%高于对照组(P<0.05)。结论:IC孕妇伴HBV感染对孕妇妊娠结局和新生儿有严重影响,因此,采取必要的护理干预措施,加强对IC伴HBV感染孕妇围生期的监护,采取相应的母婴阻断措施,对确保母婴健康具有重要意义。
Objective: To analyze the influence of hepatitis B virus (HBV) infection on neonates and pregnancy outcome in patients with intrahepatic cholestasis (IC) and to provide reference for clinical nursing interventions and improvement of pregnancy outcomes. Methods: Sixty pregnant women with IC with HBV infection who were hospitalized from January 2012 to December 2014 in our hospital were selected as the study group. Forty-five ICI-treated pregnant women in the same period were selected as the control group. By retrospective analysis, Group pregnancy complications of pregnancy and neonatal outcomes, as well as neonatal HBV intrauterine infection. Results: The pregnant women with pregnancy complicating pregnancy - induced hypertension (23.33%), preterm birth (28.33%) and postpartum hemorrhage (33.33%) were significantly higher than those in the control group (P <0.05). The incidence of intrauterine distress (20.00%), low birth weight (26.67%) and jaundice (25.00%) were significantly higher in the study group than in the control group (P <0.05) ; Pregnant women in study group HBV intrauterine infection rate was 11.67% higher than the control group (P <0.05). Conclusion: IC pregnant women with HBV infection have serious impact on pregnancy outcome and newborn infants. Therefore, taking the necessary nursing interventions to strengthen the perinatal care of pregnant women with IC complicated with HBV infection, taking appropriate maternal and infant block measures, Ensuring maternal and child health is of great importance.