血清孕酮βHCG联合检测在早期先兆流产治疗中临床价值.docVIP

血清孕酮βHCG联合检测在早期先兆流产治疗中临床价值 　　[摘要] 目的 分析研究血清孕酮、人绒毛膜促性腺激素（β-HCG）联合检测在早期先兆流产治疗中的临床价值。 方法 对本院收治的116例早期先兆流产患者的血清孕酮及β-HCG水平进行检测，分析不同孕酮及β-HCG水平对患者妊娠结局的影响。 结果 孕酮25.00 ng/ml，β-HCG50 mIU/ml的患者均可保胎成功继续妊娠；孕酮为15.94～25.00 ng/ml，β-HCG为10～50 mIU/ml的患者经积极治疗后可保胎成功继续妊娠；孕酮15.94 ng/ml，β-HCG10 mIU/ml以及孕酮和β-HCG不同步的患者，即使积极进行治疗最终仍难免流产，终止妊娠。 结论 血清孕酮和β-HCG联合检测可准确评估早期先兆流产患者的预后，可根据孕酮和β-HCG检测水平对患者进行针对性治疗，有效地避免医源性浪费和减少稽留流产的发生。 　　[关键词] 早期先兆流产；血清孕酮；血清人绒毛膜促性腺激素 　　[中图分类号] R714.21[文献标识码] B[文章编号] 1674-4721（2014）05（a）-0153-03 　　 　　Clinical value of joint detection of serum progesterone and β-HCG in the treatment of early threatened abortion 　　ZHANG Hui-hua LI Lian 　　Dinghu District People′s Hospital in Zhaoqing City of Guangdong Province,Zhaoqing 526070,China 　　[Abstract] Objective To analyze and study the clinical value of joint detection of serum progesterone and human chorionic gonadotropin (β-HCG) in the treatment of early threatened abortion.Methods Levels of serum progesterone and β-HCG from 116 cases of patients with early threatened abortion admitted into our hospital were detected,the influence on pregnancy outcome by different levels of progesterone and β-HCG was analyzed.Results Patients whose level of progesterone was over 25.00 ng/ml and β-HCG over 50 mIU/ml could successfully prevent miscarriages and continue pregnancy.Patients whose level of progesterone was 15.94-25.00 ng/ml,and β-HCG 10-50 mIU/ml could also successfully prevent miscarriages and continue pregnancy after active treatment.Patients whose level of progesterone was less than 15.94 ng/ml and β-HCG below 10 mIU/ml or discrepant of progesterone and β-HCG levels hardly could avoid miscarriages and finally led to termination of pregnancy,even if active treatment was adopted.Conclusion Joint detection of serum progesterone and β-HCG can accurately evaluate the prognosis of early threatened abortion patients.Targeted treatment based on the detected levels of progesterone and β-HCG can effectively avoid iatrogenic waste and