甘胆酸对妊娠期肝内胆汁淤积症的诊断价值

  • 摘要: 应用甘胆酸放射免疫分析法(CGRIA)检测孕妇血清CG的含量,正常孕妇(对照组)32孕周后随妊娠月份增加血清CG含量略有上升,孕31周前以血清CG含量<7.0μmol/l为对照,32孕周后以血清CG含量<9.4μmol/l为对照。妊娠期肝内胆汁淤积(ICP)患者血清CG值100%增高,约50%患者血清CG值升高先于瘙痒症状出现及谷丙转氨酶(ALT)的升高。早在孕20周即出现血清CG含量增高,因此测定CG含量是早期诊断ICP患者最灵敏的方法。ICP患者血清CG含量愈高,胎儿窘迫率也愈高,动态观察ICP患者血清CG含量是监测胎儿预后的一项可靠指标。

     

    Abstract: THE DIAGNOSTIC VALUE OF GLYCOCHOLIC ACID FOR INTRAHEPATIC CHOLESTASIS IN PREGNANCY Wang Guangxian;Zhou Rong;Wan Baijian; Zhang Ruixuan;Wang Xiaofang(Nanjing the 81th Hospital, 210002)Abstract:The content of glycocholic acid(CG)in pregnant women's sera is detected with CG radioim munoassay(RIA).The content of CG in sera of normal pregnant women after 32 weeks is ascended slightly with the increasing of pregnant month. It is less than 7.0 μmol/l before 31 weeks in pregnancy and less than 9. 4 μmol/l after 32 weeks. The serum CG content of patients with intrahepatic cholestasis in pregnancy(ICP)is increased by 100%. The CG value of about half patients appears ear lier than pruritus and ALT rise, the earliest CG increasing appears in the 20th pregnant week.It is the most sensitive method for ICP early diagnosis.136 cases of ICP patients are observed and the results show that the higher the CG content,the higher the rate of intrauterine fetal anoxia;therefore, the dy namic observation of CG content in ICP patients is a dependable objective for surveillance of fetal prog nosis.Keywords: RIA intrahepatic cholestasis glycocholic acid

     

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