Habek D, Hodek B, Herman R, Maticević A, Jugović D, Habek J C, Salihagić A
Department of Obstetrics and Gynecology, Bjelovar Health Center.
Zentralbl Gynakol. 2001 Jul;123(7):411-4. doi: 10.1055/s-2001-16863.
The aim of the study is the evaluation of variables of the biophysical profile in the assessment of perinatal outcome. The prospective study included 87 pregnant women with singleton pregnancy in the 28th to 42nd week of gestation with clinically and ultrasonically verified fetal growth retardation, where the fetal biophysical profile was assessed antenatally. Through the factor analysis of biophysical profile variables we obtained values indicating the contribution of individual variables to the predictability of perinatal outcome. 70% of the patients were examined in 15 minutes according to the principles of modified biophysical profile. The most sensitive variable of the biophysical profile in the prediction of perinatal outcome was the amniotic fluid volume, followed by fetal breathing movements, non-stress test and fetal movements, while the lowest prediction value was assigned to the fetal tone. The modified biophysical profiles need to be perfected on a larger number of pregnant women, which would advance the predictability of this method in detection of hypoxically endangered fetuses.
本研究的目的是评估生物物理评分各项指标对围产期结局的预测价值。前瞻性研究纳入了87名单胎妊娠孕妇，孕周为28至42周，临床及超声检查证实存在胎儿生长受限，于产前评估胎儿生物物理评分。通过对生物物理评分各项指标进行因子分析，得出各指标对围产期结局预测价值的贡献。70%的患者按照改良生物物理评分原则在15分钟内完成检查。生物物理评分中预测围产期结局最敏感的指标是羊水指数，其次是胎儿呼吸运动、无应激试验和胎动，而胎儿肌张力的预测价值最低。改良生物物理评分需要在更多孕妇中进行完善，以提高该方法在检测缺氧危险胎儿方面的预测能力。
