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目的:分析胎儿纤连蛋白(f FN)联合超声宫颈检查预测早产的临床价值。方法:选择佛山市顺德区第一人民医院附属杏坛医院在2014年9月至2016年8月期间收治的100例有先兆早产症状孕妇的临床资料,随机分为对照组和观察组,每组50例。对照组采用单独的超声宫颈检查,观察组采用f FN联合超声宫颈检查,根据两组检查结果针对其早产状况加以预测。通过随访的方式,对两组患者早产状况进行确认,从而比较两组检测方式的临床价值。结果:对照组各项指标敏感性、特异性、阳性预测率、阴性预测率与观察组比较,差异具有统计学意义(P<0.05);观察组早产预测的准确性高于对照组,差异具有统计学意义(P<0.05)。结论:f FN联合超声宫颈检查相对于单纯使用超声检查预测,其结果的准确性及敏感性更高。而且,其检测中的各项指标,都相对可靠。
Objective: To analyze the clinical value of fetal fibronectin (f FN) combined with ultrasound cervical examination in predicting preterm delivery. Methods: The clinical data of 100 pregnant women with symptoms of threatened preterm birth admitted to Xingtan Hospital Affiliated to First People’s Hospital, Shunde District, Foshan City from September 2014 to August 2016 were randomly divided into control group and observation group. Each group 50 cases. The control group with a separate ultrasound cervical examination, the observation group using f FN combined with ultrasound cervical examination, according to the two groups of test results for its preterm birth status to be predicted. Through follow-up mode, the status of preterm birth in both groups was confirmed, and the clinical value of the two groups was compared. Results: The sensitivity, specificity, positive predictive rate and negative predictive rate of each index in the control group were significantly different from those in the observation group (P <0.05). The accuracy of predicting the preterm birth in the observation group was higher than that in the control group Statistical significance (P <0.05). Conclusions: The accuracy and sensitivity of f FN combined with ultrasonography in predicting ultrasonography is higher than that of using pure ultrasonography. Moreover, the detection of the indicators, are relatively reliable.