摘要
目的探讨妊娠中期测定血β-绒毛膜促性腺激素(β—HCG)、血钙、血细胞比容及平均动脉压预测妊娠高血压综合征的临床可行性。方法对218例妊娠16~20周的孕妇抽血测定血β—HCG、血钙及血细胞比容,同时监测平均动脉压,根据有无发生妊高征将孕妇分为两组,妊高征组和正常妊娠组,比较两组孕妇的血β—HCG、血钙、血细胞比容及平均动脉压,并观察不同程度妊高征患者上述4项指标的变化。结果妊高征孕妇在孕16~20周血β—HCG明显高于正常妊娠者;血钙水平明显下降,且下降程度与病情的严重程度呈正相关;血细胞比容及平均动脉压与正常妊娠者间差别有显著性意义(P〈0.05)。结论妊娠中期测定血β—HCG、血钙、血细胞比容及平均动脉压可预测妊娠高血压综合征。
Objective To investigate the predicting value of pregancy induced hypertension (PIH) by measuring the level of β - HCG in blood, blood calcium, hematocrit (HCT) and the mean arterial blood pressure (mABP). Methods 218 volunteers' (16 -20 gestational weeks) blood were drew to measure β -HCG, blood calcium and HCT, meanwhile mABP from the same patients. The patients were divided into PIH group and normal group. Compare pregnant women's blood β- HCG, blood calcium, HCT and mABP in two groups, observe the above - mentioned indexes in various degree PIH patients. Results Blood β - HCG levels were significantly higher in pregnancies who later developed PIH than those in normal pregnancies ( P 〈 0. 01 ). Blood calcium levels were significantly lower ( P 〈 0. 01 ). HCT and mABP were significantly higher ( P 〈 0. 05 ). Conclusion The Detection of blood β - HCG, blood calcium, HCT and mABP can forecast PIH.
出处
《中国全科医学》
CAS
CSCD
2006年第4期295-296,共2页
Chinese General Practice