Zietek Jerzy, Sikora Jerzy, Horoba Krzysztof, Matonia Adam, Jezewski Janusz, Magnucki Jacek, Kobielska Lucyna
Katedra i Klinika Połoznictwa i Ginekologii SLAM, ul. Medyków 14, 40-752 Katowice.
Ginekol Pol. 2008 Nov;79(11):798-804.
Frequency and strength of the uterine contractions monitoring enables to control the labour progress and also, although in a restricted way, to determine the beginning of labour, as long as it is not preterm. Mechanical approach provides only the low frequency signal, which describes the contractions more or less accurately, depending on whether an intrauterine pressure measurement is used in the former case or whether an external stress measurement is applied in the latter case. This signal does not comprise information on contractions characteristics and enables only to estimate their basic timing parameters. Description of the electrophysiological properties may be obtained only by means of the uterine electrical signals measurement. In the following paper, the classical interpretation of the uterine contraction activity which relies upon its mechanical and electrical activity was presented. Additionally, the frequency parameters provided exclusively by the electrical signal were proposed. The possibility of the electrohysterogram analysis may provide more complete information on uterine muscle functioning. Results of the research studies show that further development of electrohysterography will enable its wider application in pregnancy and labour diagnostics.
监测子宫收缩的频率和强度能够控制产程,并且在一定程度上(尽管有限)还能确定分娩的开始,前提是分娩不是早产。机械方法仅提供低频信号,该信号或多或少准确地描述了宫缩情况,这取决于前者是否使用宫内压力测量,或者后者是否应用外部压力测量。该信号不包含宫缩特征信息,仅能估计其基本时间参数。只有通过测量子宫电信号才能获得电生理特性的描述。在接下来的论文中,介绍了基于子宫机械和电活动的子宫收缩活动的经典解释。此外,还提出了仅由电信号提供的频率参数。子宫电图分析的可能性可能会提供有关子宫肌肉功能的更完整信息。研究结果表明,子宫电图的进一步发展将使其在妊娠和分娩诊断中得到更广泛的应用。