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目的 :调查正常妊娠和产褥期妇女不同时期肝肾功能的主要指标变化 :方法 :采用TBA 40FR全自动生化分析仪对 2 0 1例不同孕期的正常孕妇和 189例不同产褥期的正常产妇及 6 9例健康非孕妇女进行肝肾功能检测。结果 :妊娠期 :碱性磷酸酶 (ALP)、乳酸脱氢酶 (LDH)、总蛋白 (TP)、白蛋白 (AIB)、尿素氮 (BUN)、肌酐 (CRF)等与正常对照组相比有显著性差异 ,其它指标虽在不同孕期有不同程度的改变 ,但未显著偏离正常人参考值。产褥期 :变化主要体现在初期 ,各项指标与妊娠晚期相近 ,但LDH升高更为明显。产褥末期各项指标基本恢复正常。结论 :正常妊娠和产褥期妇女不同时期肝肾功能多项指标与正常人参考值有差异 ,医生在诊断有关孕产妇肝肾等疾病时应充分考虑其特殊性。
OBJECTIVE: To investigate the changes of the main indicators of liver and kidney function in normal pregnancy and puerperium women at different stages: Methods: TBA 40FR automatic biochemical analyzer was applied to 201 cases of normal pregnant women of different gestational age and 189 cases of normal maternal women of different puerperium stages and 69 cases. Healthy non-pregnant women examined liver and kidney function. Results: During pregnancy: compared with normal control group, alkaline phosphatase (ALP), lactate dehydrogenase (LDH), total protein (TP), albumin (AIB), urea nitrogen (BUN), creatinine (CRF), etc. There was a significant difference. Although other indicators changed at different levels during different pregnancy periods, they did not significantly deviate from the normal reference values. During the puerperal phase, the changes are mainly reflected in the early stages, and the indicators are similar to those in the third trimester, but the increase in LDH is more pronounced. The indicators of the end of calving basically returned to normal. Conclusion : There are differences in liver and renal function indicators between normal pregnancy and puerperium women at different periods compared with the reference values of normal people. Physicians should fully consider their particularity when diagnosing diseases such as liver and kidney of pregnant women and puerperants.