目的动态观察早孕妇女不同孕周的外周孕酮水平,评估其对于预测妊娠结局的价值。方法对3 901例早孕妇女进行前瞻性研究,随机对早孕4~15周的孕妇进行外周血孕酮的动态监测,分析不同孕周期间外周血孕酮水平波动状况和外周血孕酮范围,评估不同孕周外周血孕酮水平对妊娠结局的预测能力。结果早孕妇女不同孕周的外周血孕酮水平随着孕周的增加而缓慢上升,平均每周增值约2 ng/mL,与孕周大小无明显关系,但孕7~9周间增值低于1.3 ng/mL。结论早孕妇女不同孕周的外周血孕酮水平与妊娠密切相关,其变化比较平稳,应密切观察孕酮的细微变化,可作为预测妊娠结局的重要指标。
ObjectiveDynamic observation of peripheral progesterone levels in pregnant women at different gestational weeks in early pregnancy, and to evaluate their prediction effect of pregnancy outcome. MethodA prospective study of 3901 women in early pregnancy,dynamic monitoring of progesterone in peripheral blood was carried out in 4 to 15 weeks pregnant women with the consent of the patients,randomly,and analysis of the fluctuation of progesterone levels in peripheral blood between different gestational periods;SPSS 18 software was carried out to analyze the progesterone range of peripheral blood in different gestational weeks, and to evaluate the predictive ability of progesterone levels in peripheral blood of different gestational weeks to pregnancy outcome. ResultThe progesterone levels in peripheral blood of early pregnant women increased slowly with the increase of gestational weeks, the average weekly value is about 2 ng/mL, and has no significant relationship with gestational age, but the value between 7 to 9 weeks was less than 1.3 ng/mL. ConclusionThe progesterone levels in peripheral blood of pregnant women at different gestational weeks are closely related to pregnancy. It is relatively stable and should be closely observed. It is an important indicator to predict the outcome of pregnancy.