血β-绒毛膜促性腺激素、血钙、血细胞比容、平均动脉压在预测妊娠高血压综合征中的价值  

The Detection of Blood β-HCG,Blood Calcium,Hematocrit and Mean Arterial Pressure to Forecast Pregnancy Induced Hypertension

作　　者：吴曼祯 陈文[1] 陈秀华[1] 黄远征[1] 卢冬青[1] 

机构地区：[1]广东省汕头市第二人民医院妇产科,515011

出　　处：《中国全科医学》2006年第4期295-296,共2页Chinese General Practice

摘　　要：目的探讨妊娠中期测定血β-绒毛膜促性腺激素（β—HCG）、血钙、血细胞比容及平均动脉压预测妊娠高血压综合征的临床可行性。方法对218例妊娠16～20周的孕妇抽血测定血β—HCG、血钙及血细胞比容，同时监测平均动脉压，根据有无发生妊高征将孕妇分为两组，妊高征组和正常妊娠组，比较两组孕妇的血β—HCG、血钙、血细胞比容及平均动脉压，并观察不同程度妊高征患者上述4项指标的变化。结果妊高征孕妇在孕16～20周血β—HCG明显高于正常妊娠者；血钙水平明显下降，且下降程度与病情的严重程度呈正相关；血细胞比容及平均动脉压与正常妊娠者间差别有显著性意义（P〈0．05）。结论妊娠中期测定血β—HCG、血钙、血细胞比容及平均动脉压可预测妊娠高血压综合征。Objective To investigate the predicting value of pregancy induced hypertension （PIH） by measuring the level of β - HCG in blood, blood calcium, hematocrit （HCT） and the mean arterial blood pressure （mABP）. Methods 218 volunteers＇ （16 -20 gestational weeks） blood were drew to measure β -HCG, blood calcium and HCT, meanwhile mABP from the same patients. The patients were divided into PIH group and normal group. Compare pregnant women＇s blood β- HCG, blood calcium, HCT and mABP in two groups, observe the above - mentioned indexes in various degree PIH patients. Results Blood β - HCG levels were significantly higher in pregnancies who later developed PIH than those in normal pregnancies （ P 〈 0. 01 ）. Blood calcium levels were significantly lower （ P 〈 0. 01 ）. HCT and mABP were significantly higher （ P 〈 0. 05 ）. Conclusion The Detection of blood β - HCG, blood calcium, HCT and mABP can forecast PIH.

关 键 词：妊娠高血压综合征 血β-绒毛膜促性腺激素 血钙 血细胞比容 平均动脉压 

分 类 号：R714.25[医药卫生—妇产科学]