血清HCG和孕酮水平检验在早期先兆流产中的诊断价值  

The diagnostic value of serum HCG and progesterone levels in early threatened miscarriage

作　　者：戴福伟 庞丽娟 树成干 谷佳佳 Dai Fuwei;Pang Lijuan;Shu Chenggan;Gu Jiajia(Department of Laboratory,Yancheng First People's Hospital,Yancheng 224000,China)

机构地区：[1]盐城市第一人民医院检验科,江苏盐城224000

出　　处：《实用妇科内分泌电子杂志》2024年第7期80-82,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探究血清人绒毛膜促性腺激素(HCG)和孕酮水平检验对早期先兆流产的临床诊断价值。方法选取80例早期先兆流产患者为观察组,同期80例健康孕妇为对照组,两组均进行血清HCG和孕酮水平检验,对比分析诊断效能。结果观察组血清HCG检出率为88.75%,孕酮水平检出率是91.75%,均低于联合检出率的98.75%(P<0.05),而血清HCG和孕酮水平检出率无统计学差异(P>0.05)。观察组患者血清HCG和孕酮水平低于对照组(P<0.05)。结论血清HCG和孕酮水平检验都能够检出早期先兆早产,但联合运用效果更佳,能提高诊断效能,减少临床误诊和漏诊,值得临床推广与应用。Objective To explore the clinical diagnostic value of serum human chorionic gonadotropin(HCG)and progesterone levels in early threatened miscarriage.Methods 80 patients with early threatened miscarriage were selected as the observation group,and 8o healthy pregnant women during the same period were selected as the control group.Both groups underwent serum HCG and progesterone level tests to compare and analyze the diagnostic efficacy.Results The detection rate of serum HCG and progesterone levels in the observation group was 88.75%and 91.75%,both lower than the combined detection rate of 98.75%(P<0.05),while there was no statistically significant difference in the detection rates of serum HCG and progesterone levels(P>0.05).The serum HCG and progesterone levels in the observation group were lower than those in the control group(P<0.05).Conclusion Both serum HCG and progesterone levels can detect early threatened preterm birth,but the combined use is more effective,can improve diagnostic efficiency,reduce clinical misdiagnosis and missed diagnosis,and is worthy of clinical promotion and application.

关 键 词：血清HCG 孕酮水平 早期先兆流产 诊断价值 

分 类 号：R714.21[医药卫生—妇产科学]