血清孕酮水平检测对预测早期先兆流产结局的临床意义探讨

Study of Serum Progesterone Level Testing to Predict the Clinical Significance of the Early Threatened Abortion Outcome

目的分析血清孕酮水平检测对预测早期先兆流产结局的临床意义。方法选择同期先兆流产孕妇80例,经保胎治疗前与治疗1周后检测血清孕酮水平,并根据保胎治疗后的随访结果分为稳定组与失败组,同时选入同期正常妊娠孕妇40例作为对照组,比较3组孕妇血清孕酮水平并分析。结果在保胎治疗前和保胎治疗1周后,稳定组和对照组分别与失败组血清孕酮水平比较,差异均具有高度统计学意义(P<0.01);稳定组治疗前后血清孕酮水平比较,差异具有统计学意义(P<0.05);失败组治疗前后血清孕酮水平比较,差异无统计学意义(P>0.05)。结论血清孕酮水平对早期先兆流产孕妇的结局十分重要,血清孕酮水平过低或保胎后变化不明显,均提示早期先兆流产孕妇的结局不佳。

Objective To analyze serum progesterone level testing to predict the clinical significance of the early threatened abortion outcome.Methods 80 cases of threatened abortion pregnant women choose the same period , the spuc before and after 1 week treatment to detect serum progesterone level , and according to the results of follow -up after spuc treatment into the stability and failure group , at the same time for the same period of normal pregnancy pregnant 40 cases as control group , comparing three groups of pregnant women serum progesterone level and analysis.Results In spuc before and spuc 1 week after treatment, stable group and the control group , respectively, compared with serum pro-gesterone level failure group , are highly statistically significant difference （ P〈0.01 ）;Stable groups before and after treatment serum progesterone level comparison , statistically significant difference （ P〈0.05 ）;Failure group before and after treatment serum progesterone level comparison , there was no statistically significant difference （ P 〉0.05 ）.Con-clusions Serum progesterone level is very important , the result of early threatened abortion of pregnant women serum progesterone level is too low or spuc after the change is not obvious , suggests that the end of the early threatened abortion of pregnant women.