异位妊娠药物治疗中动态监测血清孕酮水平的价值

《异位妊娠药物治疗中动态监测血清孕酮水平的价值》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、异位妊娠药物治疗中动态监测血清孕酮水平的价值作者：杜敏霞,任利华,黄,林单位：新乡医学院护理学院,河南新乡贵阳医学院第一附属医院妇产科，贵州贵阳【摘要】目的分析异位妊娠患者药物治疗前后动态监测血清孕酮水平的价值。方法84例采取药物治疗的异位妊娠患者分为治疗成功组和治疗失败组，治疗前、治疗后3d、7d检测比较2组血清孕酮、血清绒毛膜促性腺激素β（βHCG）。结果治疗前和治疗后3d治疗成功组血清孕酮水平明显低于治疗失败组（P＜0.05），而2组间血清βHCG值的差异无统计学意义（P＞0.05）；治疗后7d，治疗

2、成功组血清孕酮值显著低于治疗失败组（P＜0.01），2组间血清βHCG值的差异也有统计学意义（P＜0.05）。治疗后3d和治疗后7d治疗成功组血清孕酮下降发生率均明显高于治疗失败组（P＜0.05）。治疗后3d2组间血清βHCG下降发生率无明显差异（P＞0.05），而治疗后7d治疗成功组患者血清βHCG下降发生率明显高于治疗失败组（P＜0.05）。结论异位妊娠药物治疗前监测血清孕酮水平有助于更有效地筛选药物治疗病例；治疗后血清孕酮下降是迅速判断药物治疗效果的灵敏指标。【关键词】异位妊娠；孕酮；绒毛膜促性腺激素

3、；药物疗法ValueofserumprogesteronelevelswithdynamicmonitoringduringdrugtreatmentofpatientswithectopicpregnancyDUMinxia1,RENLihua1,HUANGLin2(1.DepartmentofNursing,XinxiangMedicalCollege,Xinxiang453003,China；2.theFirstAffiliatedHospitalofGuiyangMedicalCollege,Guiyang550000,China

4、)Abstract:ObjectiveToanalyzethevalueofserumprogesteronelevelswithdynamicmonitoringpreandpostdrugtreatmentonpatientswithectopicpregnancy.MethodsEightyfourpatientswithectopicpregnancy,whoweretreatmentwithdrug,weredividedintotreatmentsuccessfulgroupandtreatmentfaliuregroup.

5、Serumprogesteroneandchorionicgonadotrophinβweredetectedandcomparedbetweentwogroupspretreatmentandinthethirddayandtheseventhdayposttreatment.ResultsThelevelofserumprogesteroneintreatmentsuccessfulgroupwaslowerthanthatintreatmentfaliuregrouppretreatmentandinthethirdd

6、ayposttreatment（P＜0.05）,buttherewasnosignificantdifferenceofchorionicgonadotrophinβbetweentwogroups（P＞0.05）.Thelevelofserumprogesteroneintreatmentsuccessfulgroupwasobviouslylowerthanthatintreatmentfaliuregroupintheseventhdayposttreatment（P＜0.01）,andtherewassignifica

7、ntdifferenceofchorionicgonadotrophinβbetweentwogroups(P＜0.05).Thedeclinerateofserumprogesteroneintreatmentsuccessfulgroupinthethirddayandintheseventhdayposttreatmentwassignificantlyhigherthanthatinthefailuretreatmentgroup（P＜0.05）,buttherewasnosignificantdifferenceofc

8、horionicgonadotrophinβbetweentwogroupinthethirddayposttreatment（P＞0.05）.The