Smolarczyk R, Romejko E, Wójcicka-Jagodzińska J, Czajkowski K, Teliga-Czajkowska J, Piekarski P
II Katedry i Kliniki Połoznictwa i Ginekologii Akademii Medycznej w Warszawie.
Ginekol Pol. 1996 Sep;67(9):443-6.
Total bile acids in serum blood samples from 325 subjects were estimated. Study group consisted of 50 nonpregnant women, 40-in the I trimester, 50-in the II and 100-in the III trimester of gestation, 55 patients in the third day of puerperium and 30 newborn infants (cord serum). All women were healthy, their age varied between 20 and 36 years. Children were mature, born in good condition (Apgar score > 8 points). Bile acids concentration were determined using enzymatic method with reagent kits by Nycomed Pharme, Norway. In the course of pregnancy continuous increase of investigated compounds was observed. The concentration of bile acids in puerperium was lower than in the III trimester of pregnancy and equal to that determined in cord serum. Authors conclude that during normal, uneventful course of gestation symptomless, benign intrahepatic cholestasis occurs.
对325名受试者血清样本中的总胆汁酸进行了估算。研究组包括50名未怀孕女性、40名妊娠早期女性、50名妊娠中期女性、100名妊娠晚期女性、55名产后第三天的患者以及30名新生儿(脐血血清)。所有女性均健康,年龄在20至36岁之间。儿童发育成熟,出生状况良好(阿氏评分>8分)。使用挪威Nycomed Pharme公司的试剂盒通过酶法测定胆汁酸浓度。在妊娠过程中,观察到所研究化合物持续增加。产后胆汁酸浓度低于妊娠晚期,且与脐血血清中测定的浓度相当。作者得出结论,在正常、平稳的妊娠过程中会发生无症状的良性肝内胆汁淤积。