产房内婴儿心率临床评估的准确性。
Accuracy of clinical assessment of infant heart rate in the delivery room.
作者信息
Kamlin C Omar F, O'Donnell Colm P F, Everest Neil J, Davis Peter G, Morley Colin J
机构信息
Division of Newborn Services, Royal Women's Hospital, Melbourne, Australia.
出版信息
Resuscitation. 2006 Dec;71(3):319-21. doi: 10.1016/j.resuscitation.2006.04.015. Epub 2006 Sep 20.
Heart rate (HR) dictates intervention during neonatal resuscitation. Guidelines recommend that HR be assessed by auscultation or palpation. We compared HRs determined clinically with electrocardiography (ECG) in healthy newborns in the delivery room. Clinical assessment by 23 observers randomly allocated to assess HR by one of two methods in 26 infants, was found to be inaccurate and underestimate ECG HR. The mean difference between HR assessed by auscultation and palpation ECG and HR using methodology recommended by the Neonatal Resuscitation Programme was 14 and 22 beats per minute respectively.
心率（HR）决定新生儿复苏期间的干预措施。指南建议通过听诊或触诊来评估心率。我们在产房对健康新生儿的临床测定心率与心电图（ECG）测定心率进行了比较。23名观察者被随机分配，采用两种方法之一对26名婴儿的心率进行临床评估，结果发现这种评估不准确，且低于心电图测定的心率。听诊和触诊评估的心率与采用新生儿复苏计划推荐方法测定的心电图心率之间的平均差异分别为每分钟14次和22次。
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