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目的:对早期妊娠孕妇进行血清孕酮水平测定,分析比较血清孕酮的水平对早期妊娠结局的预测和影响。方法:回顾性分析四会市人民医院自2013年6月-2014年6月间接收的早期妊娠妇女360例,对其检测过的血清孕酮水平进行对比分析,并经过随访确认妊娠结局,分为正常妊娠组(A)100例、自然流产胚胎继续发育组(B)100例、自然流产胚胎停止发育组(C)100例,异位妊娠组(D)60例,检查比较各组的孕酮值。结果:A组血清孕酮水平较高,C组孕酮水平最低;A组与B组、C组、D组分别相比,差异有统计学意义(P<0.05);其中,B组与C组、D组比较,差异均有统计学意义(P<0.05);C组与D组比较,差异具有统计学意义(P<0.05)。结论:对早期妊娠妇女进行血清孕酮水平测定,可以及时发现自然流产和异位妊娠,及早采取治疗和补救措施,孕酮水平的监测为早期妊娠结局的评价提供了参考指标。
OBJECTIVE: To determine serum progesterone levels of pregnant women in early pregnancy, and to analyze the effects of serum progesterone levels on early pregnancy outcomes. Methods: A retrospective analysis of 360 patients of early pregnancy received by Sihui People’s Hospital from June 2013 to June 2014 was conducted. The serum progesterone levels were compared and analyzed. The pregnancy outcome was confirmed after follow-up 100 cases of normal pregnancy group (A), 100 cases of spontaneous abortion continued development group (B), 100 cases of spontaneous abortion embryo stop development group (C) and 60 cases of ectopic pregnancy group (D) Ketone value. Results: Serum progesterone level was higher in group A than in group C, and the progesterone level in group C was the lowest. There was significant difference between group A and group B, group C and group D (P <0.05) There was significant difference between group D and group D (P <0.05). There was significant difference between group C and group D (P <0.05). Conclusion: The determination of serum progesterone level in early pregnant women can detect spontaneous abortion and ectopic pregnancy in time and take early treatment and remedial measures. The monitoring of progesterone level provides a reference index for the evaluation of early pregnancy outcome.