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目的探讨血清孕酮在判断先兆流产预后中的价值。方法选择202例患者分为先兆流产组(94例),难免流产组(42例)和正常早孕组(66例)。均抽取静脉血检查血清孕酮。根据治疗结果将先兆流产患者分为成功组和失败组,运用受试者工作特性曲线(ROC曲线),确定用以预测治疗成功与否的血清孕酮临界值。结果先兆流产组、难免流产组血清孕酮检测结果与正常早孕组比较差异有高度显著性(P均<0.01)。血清孕酮39.2nmol/L是判断先兆流产治疗成功与否的临界值,低于该值治疗成功的可能性不大。结论血清孕酮可以作为判断先兆流产预后的参考指标。
Objective To investigate the value of serum progesterone in judging the prognosis of threatened abortion. Methods 202 patients were divided into threatened abortion group (94 cases), inevitable abortion group (42 cases) and normal early pregnancy group (66 cases). Venous blood samples were drawn for serum progesterone. According to the results of treatment, patients with threatened abortion were divided into two groups: the successful group and the failed group. The receiver operating characteristic curve (ROC curve) was used to determine the serum progesterone threshold for predicting the success of the treatment. Results In the threatened abortion group, the serum progesterone test results in the abortion group were significantly higher than those in the normal pregnancy group (all P <0.01). Serum progesterone 39.2nmol / L is to determine the success of threatened abortion treatment of the critical value, below which the probability of successful treatment is unlikely. Conclusion Serum progesterone can be used as a reference to judge the prognosis of threatened abortion.