Abstract：Objective To investigate the effect of abnormal liver function on pregnant outcome in patients with hypertensive disorder complicating pregnancy(HDCP).Methods 150 patients with HDCP in our hospital who were hospitalized from January 2015 to May 2016 were selected as the experimental group.150 normal pregnant women were selected as the control group.3 ml fasting venous blood of pregnants in two groups were collected for detection of ALT,AST and GGT.The incidence of premature rupture of membranes,premature delivery,postpartum hemorrhage and neonatal distress and neonatal weight were compared between two groups.Results Compared with the control group,the levels of ALT,AST and GGT in the experimental group were higher than those of the control group,the differences were statistically significant(P＜0.05),and the levels of ALT and GGT were significantly higher than those of the control group,were more than 2 times of the control group.The incidence rate of premature rupture of membranes,premature delivery and postpartum hemorrhage in the experimental group was higher than that of the control group respectively;the incidence rate of fetal distress in the experimental group(25.33%)was higher than that of the control group(12.00%),and the average birth weight[(2528.15±379.27)g]was lower than that in the control group[(3295.06±429.81)g],the differences were statistically significant(P＜0.05).Conclusion HDCP and abnormal liver function can increase the incidence of adverse pregnancy outcome and have adverse effect on puerpera and neonatal.
Belghiti J，Kayem G，Tsatsaris V，et al.Benefits and risks of expectant management of severe preeclampsia at less than 26 weeks gestation：the impact of gestational age and severe fetal growth restriction[J].Am J Obstet Gynecol，2011，205（5）：1759-1760.
[3]
Rugolo LMSDS，Bentlin MR，Trindade CEP.Preeclampsia：early and late neonatal outcomes[J].Neoreviews，2012，13（9）：e532-e541.
[4]
Sibai BM.Society for Maternal-Fetal Medicine，Sibai BM.E-valuation and management of severe preeclampsia before 34 weeks′gestation[J].Am J Obstet Gynecol，2011，205（3）：191-198.
Ghulmiyyah L，Sibai B.Maternal mortality from preeclampsia/ eclampsia[J].Semin Perinatol，2012，36（1）：56-59.
[5]
Wu SW，Wu LF，Wang Q，et al.Risk factors of adverse pregnancy outcomes during expectant management of early onset severe pre-eclampsia[J].Zhonghua Fu Chan Ke Za Zhi，2011，45（3）：165-169.
[8]
Portelinha A，Cerdeira AS，Belo L，et al.Altered alanine aminotransferase and gamma-glutamyl transpeptidase in women with history of preeclampsia：association with waist-to-hip ratio and body mass index[J].Eur J Gastroenterol Hepatol，2013，21（2）：196-200.
[10]
Canzoneri BJ，Lewis DF，Groome L，et al.Increased neutrophil numbers account for leukocytosis in women with preeclampsia[J].Am J Perinatol，2014，26（10）：729-732.
Poniedziatek-Czajkowska E，Marciniak B，Kimber-Trojnar Z，et al.Nitric oxide in normal and preeclamptic pregnancy[J]. Curr Phann Biotechnol，2011，12（5）：743-749.
[13]
Matsubara K，Matsubara Y，Hyodo S，et al.Role of nitric oxideand reactive oxygen species in the pathogenesis of preeclampsia[J].J Obstet Gynaecol Res，2011，36（2）：239-247.
[14]
Sharma D，Singh A，Trivedi SS，et al.Intergenotypic variation ofnitric oxide and inflammatory markers in preeclampsia：a pilot study in a North Indian population[J]. Hum Immunol，2011，72（5）：436-439.
京公网安备 11010502046607号