β-hCG与孕酮联检在异位妊娠早期的临床应用

发布时间：2018-06-25 00:45

本文选题：β-hCG + 孕酮　；参考：《中外医学研究》2016年35期

【摘要】：目的:探究分析血清中人绒毛膜促性腺激素(β-hCG)与孕酮联检在异位妊娠早期的临床应用。方法:经患者及其家属同意及伦理委员会批准,选择2015年3月-2016年3月来笔者所在医院就诊并被诊断为异位妊娠早期的患者50例作为观察组,另外选择同期正常宫内妊娠者50例作为对照组。使用化学发光法检查两组研究对象血清标本的β-hCG、孕酮含量,通过对比两组的激素含量测定结果以及观察组孕酮与β-hCG含量任一单项指标检测阳性率和联合检测阳性率,综合分析β-hCG与孕酮联检在异位妊娠早期的临床应用。结果:观察组孕妇的血清β-hCG和孕酮含量均明显低于对照组(P0.05);β-hCG和孕酮的含量单独作为诊断指标的阳性率比较差异无统计学意义(P0.05);将两项指标联合检测与单项β-hCG和孕酮的含量指标检测所得的阳性率比较,差异有统计学意义(P0.05)。结论:血清β-hCG与孕酮的联检可显著提高早期诊断的阳性率,弥补单项指标检测的不足,在异位妊娠早期诊断中具有显著的临床价值。
[Abstract]:Objective: to investigate the clinical application of serum human chorionic gonadotropin (尾-hCG) and progesterone in early ectopic pregnancy. Methods: with the consent of the patients and their families and the approval of the Ethics Committee, 50 patients who had been admitted to our hospital from March 2015 to March 2016 and were diagnosed as ectopic pregnancy were selected as the observation group. Another 50 cases of normal intrauterine pregnancy were selected as control group. The contents of 尾 -hCGand progesterone in serum samples of the two groups were examined by chemiluminescence method. The positive rate of progesterone and 尾 -hCG in the observation group was determined by comparing the results of the determination of hormones in the two groups and the positive rate of any single index and the combined detection rate of progesterone and 尾 -hCG in the observation group. To analyze the clinical application of 尾-hCG combined with progesterone in early ectopic pregnancy. Results: the serum levels of 尾 -hCG and progesterone in the observation group were significantly lower than those in the control group (P0.05), the positive rates of 尾 -hCG and progesterone as diagnostic markers were not significantly different (P0.05). Comparison of the positive rate of ketone content test, The difference was statistically significant (P0.05). Conclusion: the combination of serum 尾 -hCG and progesterone can significantly improve the positive rate of early diagnosis and make up for the deficiency of single index detection. It has significant clinical value in the early diagnosis of ectopic pregnancy.
【作者单位】：海门市人民医院;
【分类号】：R714.22

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