Jungmannová C, Lippert P, Mysák J, Vondrácek J
Ustrední poliklinika, OUNZ, Praha.
Cesk Gynekol. 1990 Sep;55(8):561-8.
During routine screening in the first half of pregnancy the authors evaluated in 3446 foetuses the incidence of spontaneous movements and movements after their attempted induction by movement of the uterus, when no spontaneous movements were recorded during examination. The examinations were made by means of a rotation probe 3.5 MHz of a Sonoline 2 apparatus (Siemens) always between 7.30 and 11.30 a.m. It was revealed that: 1. Spontaneous motor activity of the foetus depends significantly ot the foetal age; during the period between the 12th and 16th week it was recorded in 94.4%, in the 17th to 21st week it declines to 87.4% and during the 22nd-25th week it rises again to 94.7%. 2. The number of foetuses where movements were recorded after the first movement of the uterus depends also significantly on foetal age: in the 12th-16th week it is 57.5% of the number of foetuses without spontaneous movement, in the 17th to 21st week 66.3% and in the 22nd to 25th week 66.7%. 3. On the basis of preliminary work it is not possible to decide whether the movements observed after movement of the uterus are spontaneous or induced, however, if attempts to induce movements would imply only prolonged examination and recording of spontaneous activity, it is justified. 4. In one foetus where we did not observe spontaneous activity nor movements after movement of the uterus we revealed during a check-up examination rapidly developing polycystic kidneys. 5. Observation of foetal movements during screening is not time consuming and should become a matter of routine.(ABSTRACT TRUNCATED AT 250 WORDS)
在妊娠前半期的常规筛查中,作者对3446例胎儿进行了评估,观察了自发运动的发生率以及在检查时未记录到自发运动的情况下,通过子宫运动诱导后胎儿的运动情况。检查使用西门子Sonoline 2型设备的3.5MHz旋转探头,时间始终在上午7:30至11:30之间。结果显示:1.胎儿的自发运动活性显著取决于胎龄;在第12至16周期间,有94.4%的胎儿记录到自发运动,在第17至21周降至87.4%,在第22至25周又升至94.7%。2.子宫首次运动后记录到运动的胎儿数量也显著取决于胎龄:在第12至16周,占无自发运动胎儿数量的57.5%,在第17至21周为66.3%,在第22至25周为66.7%。3.根据初步研究,无法确定子宫运动后观察到的运动是自发的还是诱导的,然而,如果诱导运动的尝试仅意味着延长对自发活动的检查和记录,那么这样做是合理的。4.在一例胎儿中,我们既未观察到自发活动,子宫运动后也未观察到运动,在复查时发现其患有快速发展的多囊肾。5.筛查期间观察胎儿运动并不耗时,应成为常规检查项目。(摘要截断于250字)