血清HCG、孕酮联合检测在早期先兆流产治疗中的价值分析

目的通过研究探讨血清β-HCG、孕酮联合检测在早期先兆流产治疗中的临床价值。方法随机选取广东省中山市东升镇东升医院2015年1月—2016年9月期间收治的100例早期先兆流产患者作为研究对象,并按随机数字分组法将所有入选患者分为观察组与对照组(各50例),观察组给予血清β-HCG、孕酮联合检测,对照组仅给予血清孕酮检测,分析比较两组患者检验的有效率。结果观察组经联合检测后血清β-HCG、孕酮水平较仅给予血清孕酮检测对照组的水平低(P0.05);观察组经血清β-HCG、孕酮联合检测后临床检验有效率显著优于仅给予血清孕酮检测的对照组,其临床检验的敏感度、阴性预测值及诊断准确率均显著优于仅给予血清孕酮检测的对照组(P0.05)。结论血清β-HCG、孕酮联合检测具有较高的诊断准确率,在早期先兆流产诊断中更具有指导意义,有利于临床根据血清β-HCG、孕酮检测值采取有效治疗措施。

Analysis of the Value of Serum HCG and Progesterone in the Treatment of Early Threatened Abortion

Objective Through the study of serum β-HCG, combined detection of progesterone in the clinical value of Early Threatened Abortion treatment.Methods Randomly selected 100 cases of early threatened abortion patients in our hospital from January 2015 to September 2016 as the object of study, and according to the random number method all patients were divided into observation group and control group (50 cases), the observation group received the combined detection of serum β-HCG, progesterone, the control group only received serum progesterone measurement, analysis of the two groups were compared with the efficiency.Results The observation group after the combined detection of serum β-HCG, progesterone level is only given the serum progesterone level low levels of control group (P<0.05);the observation group by combined detection of serum β-HCG, progesterone after clinical examination in control group was significantly better than only given serum progesterone measurement, the clinical test sensitivity.The negative predictive value and accuracy are significantly better than the control group only received serum progesterone diagnosis (P<0.05).Conclusion Serum β-HCG, diagnosis of progesterone has high accuracy, has a guiding significance in the early diagnosis of threatened abortion, is conducive to clinical according to serum β-HCG, progesterone values taken the effective treatment measures.