CAJ | 학술논문

目的：了解人工流产后患者的内分泌生殖系统的激素分泌情况，并分析怀孕周期对人工流产的疗效影响以及临床应用价值。方法选取2011年3月~2012年3月在我院住院进行人工流产的患者74例作为研究对象，同时选取同期到本院检查的正常孕妇74例作为对照研究对象。在患者的排卵前后测定尿样采用放射免疫法测定各项激素指标。结果正常妊娠周期组尿中EIC浓度在卵泡晚期以及黄体中期明显低于人工流产组，两组比较差异具有统计学意义（P＜0.05）。正常妊娠组的PdG/EIC在黄体期d4~8明显高于人工流产组，两组比较差异具有统计学意义（P＜0.05）。两组的FSH比较差异无统计学意义（P＞0.05）。人工流产组患者经过雌-孕激素联合用药疗效比较显著。结论人工流产患者可能与卵泡晚期和黄体中期患者的PdG/EIC降低、黄体中期的EIC升高等因素有关，采取激素治疗疗效显著。
목적：료해인공유산후환자적내분비생식계통적격소분비정황，병분석부잉주기대인공유산적료효영향이급림상응용개치。방법선취2011년3월~2012년3월재아원주원진행인공유산적환자74례작위연구대상，동시선취동기도본원검사적정상잉부74례작위대조연구대상。재환자적배란전후측정뇨양채용방사면역법측정각항격소지표。결과정상임신주기조뇨중EIC농도재란포만기이급황체중기명현저우인공유산조，량조비교차이구유통계학의의（P＜0.05）。정상임신조적PdG/EIC재황체기d4~8명현고우인공유산조，량조비교차이구유통계학의의（P＜0.05）。량조적FSH비교차이무통계학의의（P＞0.05）。인공유산조환자경과자-잉격소연합용약료효비교현저。결론인공유산환자가능여란포만기화황체중기환자적PdG/EIC강저、황체중기적EIC승고등인소유관，채취격소치료료효현저。
Objective To understand the patient's post-abortion reproductive system endocrine hormone secretion, and analyze the impacts and clinical value of pregnancy cycle on artificial abortion. Methods 74 cases during abortions admitted to our hospital from March 2011 to March 2012 were selected as the research object, other 74 cases of normal pregnant women admitted to our hospital in the same period were selected as control object. Measured before and after ovulation in patients urine was measured by radioimmunoassay of the hormone targets. Results In normal pregnancy cycle group concentration in urine EIC late follicular and luteal group was significantly lower than abortion, the difference was statistically significant(P<0.05). Normal pregnancy group PdG/EIC in the luteal phase d4-8 was significantly higher than abortion group, the difference was statistically significant(P<0.05). FSH showed no significant difference between the two groups (P>0.05). Abortion patients after estrogen - progestin combination therapy efficacy significant. Conclusion Patients may be associated with abortion late follicular and luteal interim patients PdG/EIC lower mid-luteal rise of EIC and other factors, to take hormone therapy significantly .