性激素检验在不孕症诊断中的临床应用思路构建  

Clinical Application of Sex Hormone Test in the Diagnosis of Infertility

作　　者：叶成群[1] 

机构地区：[1]漳州市中医院检验科,福建漳州363000

出　　处：《中国卫生标准管理》2016年第7期162-163,共2页China Health Standard Management

摘　　要：目的研究性激素检验在不孕症诊断中的临床应用价值。方法选择2013年10月~2014年10月来我院治疗不孕症的患者58例,随机将其分成月经正常组和月经紊乱组,每组各29例,同期选择29例健康女性作为对照组,观察三组体检者的性激素水平变化。结果月经紊乱组患者的FSH、LH、PRL、T、P值均高于对照组,E2水平低于对照组,差异均有统计学意义（P〈0.05）;月经正常组血清性激素水平与对照组相比,差异无统计学意义（P〉0.05）。结论对月经异常的不孕症患者可以通过检测性激素水平进行诊断,但是对月经正常的不孕症患者诊断效果不明显,临床医生应该根据患者的具体情况进行综合分析,从而提高诊断的准确性。Objective To study the clinical value of sex hormones in infertility diagnosis. Methods Selected 58 patients with treatment of infertility from October 2013 to October 2014 in our hospital,randomly divided into normal menstruation and menstrual disorders group,29 cases in each group,chose the same period 29 cases of healthy women as a control group,the changes of sex hormone levels in the three groups were observed. Results Menstrual disorders in patients of FSH,LH,PRL,T,P values were significantly higher,E2 levels were significantly lower than the control group,the differences were statistically significant（P 〈 0.05）：normal menstruation serum sex hormone levels compared with the control group,the difference was not statistically significant（P 〉 0.05）. Conclusion Infertility abnormal menstruation can be diagnosed by detecting the levels of sex hormones,but normal menstruation infertility diagnosis ineffective,clinicians should conduct a comprehensive analysis based on the specific circumstances of the patient,thereby improving the accuracy of diagnosis.

关 键 词：性激素检验 不孕症 月经正常 月经紊乱 应用价值 

分 类 号：R446[医药卫生—诊断学]