对2010年1月至2013年2月采用熊去氧胆酸联合S-腺苷蛋氨酸治疗妊娠期肝内胆汁淤积症(ICP)患者的子代96例婴幼儿随访2年(观察组,其中男48例、女48例),与108例健康孕妇子代婴儿为对照(对照组,其中男54例、女54例),分别测试1月龄、1岁及2岁时的体格发育与精神运动发育参数比较分析。观察组与对照组2岁时的体质量分别为(11.94±0.89)和(13.99±0.78)kg、身长分别为(86.2±2.0)和(87.0±3.1)cm、坐高分别为(51.8±2.1)和(51.8±1.9)cm、头围分别为(47.9±1.3)和(48.1±1.1)cm,发育商分别为(99.4±12.9)和(100.0±12.0)分,差异均无统计学意义(均P〉0.05)。提示行熊去氧胆酸联合S-腺苷蛋氨酸治疗后的ICP患者子代,在2岁内未发现药物对婴幼儿生长发育有不良影响。
Ninety six offspring infants (48 males, 48 females) born by hospitalized patients with intrahepatie eholestasis of pregnancy from January 2010 to February 2013 (study group) and 108 cases of offspring infants (54 males, 54 females) born by hospitalized healthy pregnant woman (control group) were enrolled in the study. All offspring infants were followed up for 2 years after birth, physical and neuropsychological development parameters were investigated at 1 month, 1 year and 2 years after birth. There were no significant difference in body weight [ ( 11.94 ±0. 89) vs. ( 13.99 ± 0.78) kg], length [(86.2±2.0) vs. (87.0±3.1) cm], sitting height, [(51.8±2.1) vs. (51.8±1.9) cm], head circumference[ (47.9± 1.3) vs. (48. 1± 1.1 ) cm], development of intelligence quotient index[ (99.4 ±12. 9) vs. ( 100.0 ± 12.0 ) ] at 2 years after birth between two groups ( P 〉 0. 05 ). Two-year follow up reveals that ursodeoxycholic acid and S-adenosine methionine treatment for women with intrahepatic cholestasis of pregnant has no significant adverse effect on the growth and development of their offspring.