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血清β-HCG在计划生育的药物流产中的临床意义

Clinical Meanings of Determination of Serum β-HCG Levels in the Management of Drag Abortion for Family Planning

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【作者】 汪宪平邹惠峰姜菊萍

【Author】 Wang Xianping,Zou Huifeng,Jiang JupingSuzhou Municipal Hospital,Suzhou Medical Center for Maternal and Children Health,Suzhou,Jiangsu(215002)

【机构】 苏州市立医院苏州市母子医疗保健中心苏州市立医院苏州市母子医疗保健中心 215002215002

【摘要】 目的:探讨检测血清β-HCG在计划生育药流中的临床意义。方法:采用化学发光法测定254例正常妊娠和102例异位妊娠育龄妇女血清人绒毛膜促性腺激素(HCG)。结果:检测血清β-HCG的含量,正常妊娠组的值明显大于异位妊娠组,差异显著(P<0.01)。检测的结果还提示,β-HCG的值越大,孕囊排出体外的时间越长,而B超的结果则与孕囊排出体外的时间关系不大,无显著性差异(P>0.05)。结论:对正常妊娠做药物流产的育龄妇女,停经天数超过45d,血清β-HCG的值>50000m IU/m l的患者,可适当加服米索,以便使孕囊尽早排出体外。

【Abstract】 Objective To study the clinical meanings of determination of serum β-HCG levels in the management of drug abortion for birth control.Methods Serum β-HCG levels were determined with CLIA in 254 pregnant women asking for drug abortion and 102 women with ectopic gestatoin.Results The serum β-HCG levels in women with normal pregnancy were significantly higher than those in women with ectopic gestation(P<0.01).The higher the β-HCG levels were,the longer it took for the embryo sac to be expelled.However,the size as shown with ultrasonography had little effect on the length of time required for embryo sac expelling(P>0.05).Conclusion For drug abortion in those pregnant women with ammenorrhea over 45 days and serum β-HCG levels over 50000mIU/ml,a larger dose of misoprostol may be desirable.

  • 【文献出处】 放射免疫学杂志 ,Journal of Radioimmunology , 编辑部邮箱 ,2005年06期
  • 【分类号】R169.42
  • 【被引频次】2
  • 【下载频次】58
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