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胎儿纤维连接蛋白检测在早产预测中的临床价值

雒雪1,王巧云1,王小艳1,刘华1,崔俊芬1   

  1. 延安大学附属医院
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-06-25

  • Received:1900-01-01 Revised:1900-01-01 Online:2016-06-25

摘要: 摘要:目的:探讨分析胎儿纤维连接蛋白检测在早产中的临床应用及其价值。方法:随机选取我院门诊产检或住院的妊娠孕妇200例,通过阴道后穹窿采集分泌物,使用胎儿纤维连接蛋白快速检测条进行检测。另采集白带进行常规检测、细菌性阴道疾病、支原体及衣原体等。详细记录分娩情况及结局。结果:200例孕妇中共4例于7d分娩、8例于14d分娩、20例于34周分娩、36例于37周分娩。敏感性、特异性、阳性预测值及阴性预测值:7d:100.0%、78.0%、7.0%、100.0%;14d:76.0%、78.0%、11.0%、98.0%;34周:51.0%、79.0%、17.0%、95.0%;37周:34.0%、78.0%、21.0%、88.0%。排除40例早产孕妇,共45例fFN阳性,38例下生殖道感染;115例阴性,25例下生殖道感染,二者对比差异在统计学上有意义(P<0.05)。实际早产孕妇30例,34周内分娩的孕妇16例,4例分娩时孕周小于28周,其余分娩婴儿均顺利存活。结论:中晚期孕妇进行fFN 检测可有效提示早产,在妊娠期间需持续多次检测,发现异常后及时诊断并治疗。

Abstract: Abstract: objective: to study the analysis of the clinical application of fetal protein fiber connection detection in preterm and its value.Methods: randomly selected from our hospital outpatient prenatal or pregnancy, 200 cases of pregnant women in the hospital, through vaginal secretions, fornix after acquisition using rapid detection of fetal protein fiber connections for testing.The other gathering leucorrhea routine detection, bacterial vaginal disease, mycoplasma, chlamydia, and so on.Detailed record delivery situation and ending.Results: 4 cases of a total of 200 cases of pregnant women in childbirth, 7 d 8 cases in 14 d childbirth, 20 cases in 34 weeks delivery, 36 cases in 37 weeks delivery.Sensitivity, specificity, positive predictive value and negative predictive value: 7 d: 100.0%, 78.0%, 7.0%, 78.0%;14 d: 76.0%, 78.0%, 11.0%, 78.0%;34 weeks: 51.0%, 79.0%, 17.0%, 79.0%;37 weeks: 34.0%, 78.0%, 21.0%, 78.0%.Out of 40 cases of preterm pregnant women, a total of 45 cases fFN is positive, 38 cases of reproductive tract infections;115 cases of negative, 25 cases of reproductive tract infections, comparisons difference was statistically significant (P < 0.05).Actual preterm pregnant women 30 cases, 34 weeks pregnant childbirth in 16 cases, 4 cases of birth gestational age less than 28 weeks, the rest of the babies survive.Conclusion: the middle-late fFN detection can effectively prompt premature birth, pregnant women during pregnancy to continue testing for many times, found abnormal after timely diagnosis and treatment.