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子宫收缩力以及血清孕酮和雌激素水平对早产的预测价值。

Predictive value of uterine contractility and the serum levels of progesterone and oestrogens with regard to preterm labour.

作者信息

Smit D A, Essed G G, de Haan J

出版信息

Gynecol Obstet Invest. 1984;18(5):252-63. doi: 10.1159/000299090.

DOI:10.1159/000299090
PMID:6526341
Abstract

A longitudinal investigation regarding the serum concentrations of oestradiol, oestriol and progesterone in relation to uterine activity has been performed in 80 healthy primigravid women during the course of pregnancy up to the 37th week of pregnancy. The frequency of uterine contractions was quantitatively objectivated by means of external toco-dynamometry; simultaneously the uterine activity has been recorded by the pregnant women qualitatively. It appears that there is a gradual increase of all the three mentioned hormones during the course of pregnancy. However, there is a large interindividual spread. There exists no relation between the hormonal serum levels and uterine activity (quantitatively as well as qualitatively recorded). Between these two latter there is a poor relation. It is impossible to predict the occurrence of preterm birth based on hormonal serum changes. This holds for the progesterone-oestradiol ratio.

摘要

对80名健康初孕妇进行了一项纵向研究,观察孕期直至妊娠第37周时血清雌二醇、雌三醇和孕酮浓度与子宫活动的关系。子宫收缩频率通过外部宫缩动力学定量测定;同时,孕妇对子宫活动进行了定性记录。结果显示,在孕期这三种激素均逐渐升高。然而,个体间差异很大。激素血清水平与子宫活动(定量及定性记录)之间不存在关联。这两者之间关系甚微。基于激素血清变化无法预测早产的发生。孕酮 - 雌二醇比值亦是如此。

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引用本文的文献

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Prenatal administration of progestogens for preventing spontaneous preterm birth in women with a multiple pregnancy.孕激素产前给药预防多胎妊娠妇女自发性早产。
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Prenatal administration of progesterone for preventing preterm birth in women considered to be at risk of preterm birth.
对被认为有早产风险的女性进行产前孕激素给药以预防早产。
Cochrane Database Syst Rev. 2013 Jul 31;2013(7):CD004947. doi: 10.1002/14651858.CD004947.pub3.
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The role of progesterone in prevention of preterm birth.孕激素在预防早产中的作用。
Int J Womens Health. 2010 Aug 9;1:73-84. doi: 10.2147/ijwh.s4730.
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Progesterone after previous preterm birth for prevention of neonatal respiratory distress syndrome (PROGRESS): a randomised controlled trial.既往早产史后使用孕酮预防新生儿呼吸窘迫综合征(PROGRESS):一项随机对照试验
BMC Pregnancy Childbirth. 2009 Feb 24;9:6. doi: 10.1186/1471-2393-9-6.
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Proc Natl Acad Sci U S A. 1987 May;84(9):3029-32. doi: 10.1073/pnas.84.9.3029.