【摘要】 目的:分析血清孕酮的检测与调节在宫外孕临床诊疗中的价值。方法:于2012年1月-2014年6月选取80例宫外孕患者,随机分为试验组与对照组,每组各40例,同时选取40例正常妊娠者作为正常组。对照组予以单纯血清β-h CG检测分析并指导进一步治疗,试验组在对照组基础上联合孕酮检测分析并指导后续治疗工作。对比两组诊断准确率、诊断用时、治疗结局,并对比试验组与正常组妊娠者的检测结果。结果:宫外孕患者孕酮平均检测水平为(3.49±1.02)ng/m L,明显低于正常妊娠者孕酮水平,两组比较差异有统计学意义(P<0.05)。试验组初诊准确度97.5%,高于对照组;诊断时间(24.92±2.08)d,短于对照组,两组比较差异均有统计学意义(P<0.05)。试验组治疗后平均孕酮水平为(7.98±1.28)ng/m L,优于治疗前,两组比较差异有统计学意义(P<0.05)。试验组治疗后血β-h CG(2616.12±52.81)IU/L,优于对照组,同时重复治疗率低于对照组,妊娠包块直径与内出血量小于对照组,两组比较差异均有统计学意义(P<0.05)。试验组患者对临床服务非常满意28例、满意12例,总满意度100%,高于对照组,两组比较差异有统计学意义(P<0.05)。结论:常规检测手段联合孕酮检测分析有助于快速准确诊断宫外孕并开展积极有效的治疗,临床应用效果满意。更多还原

【Abstract】 Objective: To analyze the serum progesterone testing and adjustment in the value of clinical diagnosis and treatment of ectopic pregnancy. Method: 80 cases of ectopic pregnancy were selected from January 2012 to June 2014 and randomly divided into the experimental group and control group,40 cases in each group,at the same time 40 cases of normal pregnancy were selected as the normal group.The control group was treated with serum β-HCG detection and analysis and guided further treatment,the experimental group was detection and analysis on the basis of combined progesterone and guided subsequent treatment work. Two groups diagnostic accuracy,diagnostic time and the treatment outcome were compared, the test results of experimental group and normal group were compared.Result: The patients with ectopic pregnancy progesterone average detection level were(3.49±1.02)ng/m L,significantly lower than normal pregnancy progesterone levels,the difference was statistically significant(P<0.05). Accurately diagnosed the experimental group was 97.5%,significantly higher than control group; the time of diagnosis(24.92±2.08)d,shorter than the control group,the difference was statistically significant(P<0.05).After treatment the mean progesterone levels in the experimental group was(7.98±1.28)ng/m L,better than before treatment,the difference was statistically significant(P<0.05).After treatment,the experimental treatment group blood β-h CG was(2616.12±52.81)IU/L,better than the control group;repeating the treatment rate was lower than in the control group,pregnancy and bleeding mass diameter was less than the control group,the differences were statistically significant(P<0.05).Experimental group were very satisfied with the clinical services in 28 cases,12 cases of satisfaction,overall satisfaction,100% higher than the control group, the difference was statistically significant(P<0.05).Conclusion: Conventional testing methods combined progesterone analysis helps to quickly and accurately detect and diagnose an ectopic pregnancy carry out active and effective treatment,gets satisfactory clinical results.更多还原