炎症性肠病对育龄女性的影响及对策

炎症性肠病（IBD）临床表现为反复的黏液脓血便、腹痛、腹泻，甚至出现全身并发症。近年来其发病率呈逐年上升趋势。女性患者遗传给后代的几率高于男性患者，重症炎症性肠病往往需要手术治疗，影响女性患者的生育力，女性患者在妊娠、分娩期常常出现IBD活动或暴发加剧，使患者病情复杂化，严重影响育龄女性的身体健康。如何正确处理育龄女性IBD患者关系其生育力和妊娠、分娩安全以及胎儿安全。本文将从IBD对育龄女性生育力、妊娠、分娩、哺乳及胎儿的影响等方面进行综述，以帮助育龄女性IBD患者应对生育问题。

Impact and Solution of IBD on Female Patients in Their Reproductive Years

The manifestations of inflammatory bowl disease （IBD） include recurrent abdominal pain, diarrhea and Mucopurulent bloody stool, and even the complication all over the body. The morbidity of IBD, which severely affects the female during their reproductive years, has increased year by year. Women with IBD often experience activation or flare during pregnancy and delivery, which complicate the patients＇ conditions. Management of female IBD patients in their reproductive years is important for their fertilities and the safety for pregnancy and delivery, as well as the safety Of the fetal. This review provides the most current information on the inheritance, fertility, pregnancy, outcomes, fetal development and management of disease during pregnancy, and safety of medications in pregnancy and breastfeeding.