Narváez M, Weigel M M, Felix C, López A, López-Jaramillo P
Laboratorio de Metabolismo y Nutricion, Facultad de Ciencias Medicas, Universidad Central del Ecuador, Quito, Ecuador.
Int J Gynaecol Obstet. 1990 Jan;31(1):9-14. doi: 10.1016/0020-7292(90)90174-j.
The utility of the roll-over test (ROT) as a prognostic tool for predicting pregnancy-induced hypertension (PIH) was examined in primiparas in Quito, Ecuador. In Study I, 14 of 16 subjects with a +ROT developed PIH (positive predictive value (PPV) = 88%); only 2 of 27 subjects with a -ROT developed PIH (negative predictive value (NPV) = 92.5%). In Study II (n = 66), the PPV and NPV were 71.4% and 78.6%, respectively. Data from these and previous studies indicate that although the ROT is not a perfect predictor, its advantages recommend usage in populations with high PIH-associated maternal and perinatal mortality.
在厄瓜多尔基多的初产妇中,对翻身试验(ROT)作为预测妊娠高血压(PIH)的预后工具的效用进行了研究。在研究I中,16名翻身试验阳性(+ROT)的受试者中有14名发生了PIH(阳性预测值(PPV)=88%);27名翻身试验阴性(-ROT)的受试者中只有2名发生了PIH(阴性预测值(NPV)=92.5%)。在研究II(n=66)中,PPV和NPV分别为71.4%和78.6%。这些研究以及之前研究的数据表明,虽然翻身试验并非完美的预测指标,但其优势使其推荐用于PIH相关孕产妇和围产儿死亡率较高的人群。