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胎儿重症监护对照试验。

Controlled trial of fetal intensive care.

作者信息

Renou P, Chang A, Anderson I, Wood C

出版信息

Am J Obstet Gynecol. 1976 Oct 15;126(4):470-6. doi: 10.1016/0002-9378(76)90641-4.

DOI:10.1016/0002-9378(76)90641-4
PMID:10731
Abstract

A fetal intensive care unit was formed at the Queen Victoria Memorial Hospital in 1972. Because of some doubt concerning the value of fetal intensive care, a controlled clinical trial including all high-risk patients was performed. The trial clearly showed that intensive care is associated with improved neurologic and biochemical status of the neonate; however, it is possible that this improvement results from the use of fetal diagnostic tests or some other factor associated with intensive care. Sufficient evidence was gathered to warrant the continuation of fetal intensive care in this hospital, but in other contries, where funding is difficult to obtain, a controlled trial would appear justified.

摘要

1972年,维多利亚女王纪念医院设立了一个胎儿重症监护病房。由于对胎儿重症监护的价值存在一些疑问,因此针对所有高危患者开展了一项对照临床试验。该试验清楚地表明,重症监护与新生儿神经和生化状况的改善相关;然而,这种改善可能是由于使用了胎儿诊断测试或与重症监护相关的其他因素所致。已收集到足够的证据来支持该医院继续开展胎儿重症监护,但在其他难以获得资金的国家,开展对照试验似乎是合理的。

相似文献

1
Controlled trial of fetal intensive care.胎儿重症监护对照试验。
Am J Obstet Gynecol. 1976 Oct 15;126(4):470-6. doi: 10.1016/0002-9378(76)90641-4.
2
The fetal intensive care unit: an evolving concept.胎儿重症监护病房:一个不断发展的概念。
South Med J. 1974 Oct;67(10):1145-9. doi: 10.1097/00007611-197410000-00005.
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Classification of fetal heart rate in relation to fetal scalp blood measurements and Apgar score.与胎儿头皮血测量及阿氏评分相关的胎儿心率分类
Am J Obstet Gynecol. 1969 Nov 15;105(6):942-8. doi: 10.1016/0002-9378(69)90102-1.
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The combined use of cardiotocography and fetal blood sampling in monitoring the fetus in labour.产程中胎心监护与胎儿采血联合应用于胎儿监测。
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The neontal value of fetal monitoring.胎儿监测的新生儿价值。
Am J Obstet Gynecol. 1975 Jun 15;122(4):508-19. doi: 10.1016/s0002-9378(16)33545-1.
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Fetal monitoring in high-risk pregnancy.
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7
Neonatal depression and fetal heart rate patterns during labor.分娩期间的新生儿抑郁与胎儿心率模式
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8
The current status of intrapartum fetal monitoring.产时胎儿监护的现状
Obstet Gynecol Surv. 1976 May;31(5):339-64. doi: 10.1097/00006254-197605000-00001.
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Intensive care of the high risk foetus in labour.分娩时高危胎儿的重症监护。
Anaesth Intensive Care. 1973 Aug;1(5):423-7. doi: 10.1177/0310057X7300100510.

引用本文的文献

1
Effectiveness of intrapartum fetal surveillance to improve maternal and neonatal outcomes: a systematic review and network meta-analysis.产时胎儿监护对改善母婴结局的有效性:系统评价和网络荟萃分析。
CMAJ. 2021 Apr 6;193(14):E468-E477. doi: 10.1503/cmaj.202538.
2
Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour.连续胎心监护(CTG)作为一种电子胎儿监护(EFM)形式,用于分娩期间的胎儿评估。
Cochrane Database Syst Rev. 2017 Feb 3;2(2):CD006066. doi: 10.1002/14651858.CD006066.pub3.
3
S1-Guideline on the Use of CTG During Pregnancy and Labor: Long version - AWMF Registry No. 015/036.
孕期及分娩期胎心监护使用指南:长篇版 - AWMF注册号015/036
Geburtshilfe Frauenheilkd. 2014 Aug;74(8):721-732. doi: 10.1055/s-0034-1382874.
4
A study of an intelligent system to support decision making in the management of labour using the cardiotocograph - the INFANT study protocol.一项关于使用胎心监护仪支持分娩管理决策的智能系统的研究——INFANT研究方案。
BMC Pregnancy Childbirth. 2016 Jan 20;16:10. doi: 10.1186/s12884-015-0780-0.
5
Fetal heart rate pattern notification guidelines and suggested management algorithm for intrapartum electronic fetal heart rate monitoring.产时电子胎儿心率监测的胎儿心率模式通知指南及建议处理算法
Perm J. 2007 Fall;11(4):22-8. doi: 10.7812/TPP/07-024.
6
The electronic fetal monitor: should every mother have one?电子胎儿监护仪:每位产妇都需要吗?
Can Fam Physician. 1981 Jun;27:1023-8.
7
Fetal monitoring and anaesthesia for fetal distress.胎儿窘迫的胎儿监测与麻醉
Can J Anaesth. 1993 May;40(5 Pt 2):R74-80. doi: 10.1007/BF03020687.
8
Electronic fetal monitoring: a Canadian survey.电子胎儿监护:一项加拿大的调查。
CMAJ. 1993 May 15;148(10):1737-42.
9
Randomised controlled trial of intrapartum fetal heart rate monitoring.产时胎儿心率监测的随机对照试验
BMJ. 1994 Feb 19;308(6927):497-500. doi: 10.1136/bmj.308.6927.497.
10
The reproducibility of intrapartum cardiotocogram assessments.产时胎心监护评估的可重复性。
Can Med Assoc J. 1982 Aug 1;127(3):214-6.