Department of Obstetrics and Gynecology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
Clin Perinatol. 2011 Mar;38(1):143-57, vii. doi: 10.1016/j.clp.2010.12.009.
Fetal electrocardiogram (ECG) ST segment analysis (STAN) was approved in 2005 in the United States as an adjunct to electronic fetal heart rate monitoring to determine whether obstetrical intervention is warranted when there is an increased risk for developing metabolic acidosis. STAN has utility in the reduction of fetal acidosis at birth, decreased need for fetal scalp blood sampling during labor, and decreased need for operative vaginal delivery and emergency cesarean delivery for fetal indications. This article discusses specific fetal ECG changes and their significance and the use of the STAN system.
胎儿心电图 (ECG) ST 段分析 (STAN) 于 2005 年在美国获得批准,作为电子胎儿心率监测的辅助手段,用于确定当发生代谢性酸中毒的风险增加时是否需要产科干预。STAN 可减少出生时的胎儿酸中毒,减少分娩时胎儿头皮血样采集的需求,以及减少因胎儿指征而行阴道手术分娩和紧急剖宫产的需求。本文讨论了特定的胎儿 ECG 变化及其意义以及 STAN 系统的使用。