血清孕酮检测对早孕先兆流产诊断价值.docVIP

血清孕酮检测对早孕先兆流产诊断价值 　　【摘要】 目的：探讨血清孕酮检测对早孕先兆流产患者的诊断及预后评估意义。方法：164例早孕先兆流产孕妇根据妊娠结局分为继续妊娠组（n=98）与难免流产组（n=66），正常妊娠孕妇68例作为对照组，对比三组孕妇不同时期血清孕酮水平。结果：治疗前、治疗后三组孕妇血清孕酮水平比较差异有统计学意义（P0.01），难免流产组最低，正常对照组最高；治疗后继续妊娠组及对照组血清孕酮水平显著高（P0.01），难免流产组显著低（P0.05）；治疗期间继续妊娠组患者血清孕酮水平上升率为91.84%，显著高于难免流产组的24.24%（P0.01）。结论：孕酮在妊娠过程中具有重要的生理作用，动态检测血清孕酮水平，对于早孕先兆流产的早期诊断及妊娠结局的预测均具有重要临床意义。 　　【关键词】 孕酮； 早孕； 先兆流产 　　中图分类号 R714.21 文献标识码 B 文章编号 1674-6805（2016）14-0053-02 　　The Clinical Value of Serum Progesterone in the Diagnosis of Threatened Abortion in Early Pregnancy/YU Ming-rong.//Chinese and Foreign Medical Research，2016，14（14）：53-54 　　【Abstract】 Objective：To discuss the clinical value of serum progesterone in the diagnosis of threatened abortion in early pregnancy.Method：164 patients with threatened abortion in early pregnancy were divided into the continue pregnancy group（n=98） and the inevitable abortion group（n=66），68 women with normal pregnant were selected as the control group，then the serum progesterone levels were contrasted between the three groups.Result：There were significantly differences between the three groups in serum progesterone levels before and after the treatment（P0.01），the inevitable abortion group was lowest，the control group was highest.After the treatment，the levels of serum progesterone in the continue pregnancy group and the control group were significantly increased（P0.01），and the inevitable abortion group was significantly decreased （P0.05），the increased rate of serum progesterone in the continue pregnancy group was 91.84%，it was significantly higher than 24.24% in the inevitable abortion group（P0.01）.Conclusion：Progesterone plays an important physiological role in the process of pregnancy，and serum progesterone level has great significance in the early diagnosis of threatened abortion and the prediction of pregnancy outcome. 　　【Key words】 Progesterone； Early pregnancy； Threatened abortion 　　First-author’s address：Women’s Health Care Planning Service Center of Ningnan Coun