A routine urine test has partial predictive value in premature rupture of the membranes
A routine urine test has partial predictive value in premature rupture of the membranes
复制标题
尿常规检查对胎膜早破具有部分预测价值
DOI：
10.1177/0300060519841160
复制
发表时间：
2019-06-01
影响因子：
1.6
通讯作者：
Zhao, Guanghui
中科院分区：
文献类型：
--
作者：
Liang, Haifeng;Xie, Zhiqiang;Zhao, Guanghui
目的探讨尿常规对胎膜早破的预测价值。方法采用病例基础研究方法，收集100例未足月胎膜早破（PPROM）和100例足月胎膜早破（PROM）患者的尿常规检查资料。另选取100名健康孕妇和100名未孕成年健康妇女分别作为阴性对照组和空白对照组。在确定不同参数后，建立了受试者工作特征曲线。结果PPROM组与PROM组在潜血、血糖、酮体、尿比重、红细胞计数、上皮细胞计数、细菌、酵母菌、晶体、电导率等方面差异有统计学意义。PPROM组与足月组在潜血、蛋白质、葡萄糖、酮体、pH、红细胞计数、细菌、尿比重、晶体和电导率方面存在显著差异。受试者工作特征曲线分析表明，当细菌临界值为130.15时，其曲线下面积最大，为0.696。结论尿常规尤其是细菌计数对胎膜早破有一定的预测价值。
Objective This study aimed to examine the predictive value of a routine urine test for premature rupture of the fetal membranes. Methods Routine urine test data of 100 patients with preterm premature rupture of the membranes (PPROM) and 100 patients with full-term premature rupture of the membranes (PROM) were collected by the case-based method. Additionally, 100 healthy pregnant women and 100 nonpregnant adult healthy women were selected as the negative control group and blank control group, respectively. A receiver operating characteristic curve was established after identifying the different parameters. Results We found that occult blood, glucose, ketone bodies, urine specific gravity, red blood cell count, epithelial cell count, bacteria, yeast, crystals, and electrical conductivity were significantly different between the PPROM and PROM groups. There were significant differences in occult blood, protein, glucose, ketone bodies, pH, red blood cell count, bacteria, urine specific gravity, crystals, and electrical conductivity between the PPROM and full-term groups. Receiver operating characteristic curve analysis showed that when the cut-off for bacteria was 130.15, it had the largest area under the curve value of 0.696. Conclusion A routine urine test, especially for bacterial counts, has certain predictive value for PROM.