CAJ | 학술논문

目的：探讨联合检测血清人绒毛膜促性腺激素（HCG）和孕酮（P）在异位妊娠早期诊断中的价值。方法采用直接化学发光法分别在就诊当日及48 h后检测异位妊娠患者80例（异位妊娠组）和正常宫内早孕妇女80例（正常妊娠组）的血清HCG和P的含量。结果就诊当日正常宫内妊娠者血清HCG及P均显著高于异位妊娠患者，差异有统计学意义（ P＜0.01）。就诊当日与48 h后血清HCG比较，异位妊娠组差异无统计学意义（ P＞0.05），而正常宫内妊娠组48 h血清HCG值较就诊当日升高翻倍，差异有统计学意义（ P＜0.05）。结论动态监测血清HCG是早期诊断异位妊娠较为敏感的方法，联合检测P，对辅助诊断早期异位妊娠具有重要意义。
목적：탐토연합검측혈청인융모막촉성선격소（HCG）화잉동（P）재이위임신조기진단중적개치。방법채용직접화학발광법분별재취진당일급48 h후검측이위임신환자80례（이위임신조）화정상궁내조잉부녀80례（정상임신조）적혈청HCG화P적함량。결과취진당일정상궁내임신자혈청HCG급P균현저고우이위임신환자，차이유통계학의의（ P＜0.01）。취진당일여48 h후혈청HCG비교，이위임신조차이무통계학의의（ P＞0.05），이정상궁내임신조48 h혈청HCG치교취진당일승고번배，차이유통계학의의（ P＜0.05）。결론동태감측혈청HCG시조기진단이위임신교위민감적방법，연합검측P，대보조진단조기이위임신구유중요의의。
Objective To analyze the value of the serum HCG and progesterone in the early diagnosis of ec-topic pregnancy .Methods Eighty patients with ectopic pregnancy were used as study group and 80 normal intrauter-ine pregnancy women as control group .The content of serum HCG and progesterone on the day of visit and after 48 h in the two groups were detected using direct chemiluminescent method .Results The content of serum HCG and pro-gesterone in the control group were significantly higher than that measured in the study group on the day of visit , the difference was statistically significant ( P<0.01 ); There was no significant difference of serum HCG in the study group between the day of visit and 48 h after visit(P>0.05), while in the control group, the content of serum HCG at 48 h after visit doubled compared with the treatment day , there was statistically significant ( P<0.05 ) .Conclusion The dynamic detection of serum HCG is a sensitive method for early diagnosis of ectopic pregnancy .The combined determination of serum HCG and progesterone in the early diagnosis of ectopic pregnancy is of great significance .