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血清抑制素A和激活素A浓度与稽留流产的关系研究

林春丽 廖湘玲

实用妇产科杂志2012,Vol.28Issue(7):576-579,4.
实用妇产科杂志2012,Vol.28Issue(7):576-579,4.

血清抑制素A和激活素A浓度与稽留流产的关系研究

Relationship of Ihbibin A, Activin A and Retained Abortion

林春丽 1廖湘玲1

作者信息

  • 1. 湖南省妇幼保健院,湖南长沙410008
  • 折叠

摘要

Abstract

Objective: To determine the expresses of inhibin A and activin A in maternal serum of the normal early pregnancy and missed abortion, and the value of serum inhibin A in prediction of pregnancy outcome. Methods: 1000 cases of outpatient prenatal care of pregnancy 6 to 10 weeks were recruited in our hospital , serum inhibin A and activin A levels were measured by ELISA from 6 to 8 weeks and from 8 to 10 weeks respectively, and followed up until 13 weeks of gestation. Pregnancy situations, serum levels of inhibin A and activin A in normal and abortion groups , diagnostic thresould, sensitivity and specificity were compared. Results: Serum inhibin A, activin A in normal pregnancy were significantly higher than those of abortion group both in 6 to 8 gestation weeks or 8 to 10 gestation weeks,the difference was statistically significant (P<0.01). The thresould value of serum inhibin A in predicting the abortion was <230 ng/L, its sensitivity was 84.8%, specificity was 77.4%; The thresould value of serum activin A in predicting the abortion was < 162 ng/L, its sensitivity was 85.0%, specificity was 88.7%. There was no difference in sensitivity and specificity for these two factors (P>0.05). Conclusions; It is feasible for serum inhibin A, activin A as a predictor of first trimester missed abortion for their high sensitivity and specificity, and there is no priority for either parameter to perform the diagnostic value.

关键词

抑制素A/激活素A/稽留流产/妊娠结局

Key words

Inhibin' A/ Activin A/ Missed abortion/ Pregnancy outcome

分类

医药卫生

引用本文复制引用

林春丽,廖湘玲..血清抑制素A和激活素A浓度与稽留流产的关系研究[J].实用妇产科杂志,2012,28(7):576-579,4.

基金项目

湖南省科技厅规划项目(编号:2009FJ3185) (编号:2009FJ3185)

实用妇产科杂志

OA北大核心CSCDCSTPCD

1003-6946

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