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目的:探讨血清孕酮水平的测定在早期稽留流产诊断中的应用价值。方法:选择82例稽留流产患者作为观察组,同期在医院检查的106例正常妊娠妇女为对照组,抽取静脉血对两组进行血清孕酮水平测定并对比分析。结果:对照组血清孕酮值为(30.45±9.27)ng/ml,观察组为(9.36±4.49)ng/ml,两组差异有统计学意义(P<0.05);对照组不同孕周血清孕酮值明显高于观察组,差异有统计学意义(P<0.05);诊断稽留流产与正常妊娠的灵敏度、准确度、特异度分别为85.37%、88.83%、89.62%;对不同孕周诊断稽留流产的灵敏度、特异度以及准确度分析发现,第八周作为诊断时期为最优。结论:血清孕酮水平的测定可为稽留流产早期诊断提供有效的临床价值。
Objective: To investigate the value of serum progesterone in the diagnosis of early missed abortion. Methods: A total of 82 patients with missed abortion were selected as the observation group and 106 normal pregnant women examined in the hospital during the same period as the control group. Serum progesterone levels were measured and compared between the two groups. Results: The serum progesterone in the control group was (30.45 ± 9.27) ng / ml and in the observation group was (9.36 ± 4.49) ng / ml, the difference was statistically significant (P <0.05) (P <0.05). The sensitivity, accuracy and specificity of the diagnosis of missed abortion and normal pregnancy were 85.37%, 88.83% and 89.62%, respectively. The diagnostic value of different gestational weeks Abortion sensitivity, specificity and accuracy analysis found that the eighth week as the diagnosis period is optimal. Conclusion: The determination of serum progesterone level may provide effective clinical value for the early diagnosis of missed abortion.