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基于小波的功率谱分析评估分娩过程中的产妇心率变异性。

Assessment of maternal heart-rate variability during labor using wavelet-based power spectral analysis.

机构信息

Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, Sendai, Japan.

出版信息

Gynecol Obstet Invest. 2012;74(1):35-40. doi: 10.1159/000336064. Epub 2012 Mar 31.

DOI:10.1159/000336064
PMID:22472741
Abstract

OBJECTIVE

Changes in the maternal cardiac autonomic nervous system were assessed in the presence and absence of uterine contractions by analyzing maternal heart-rate variability during labor using wavelet-based power spectral analysis.

METHODS

We assessed the heart-rate variability in 20 pregnant women during labor and in 15 pregnant women with threatened premature labor with the use of wavelet-based power spectral analysis.

RESULTS

There was no significant difference in high-frequency components between the uterine contraction and non-contraction periods. The intensities of the low-frequency and very-low-frequency components during uterine contractions were significantly stronger than the corresponding intensities between uterine contractions.

CONCLUSION

Maternal sympathetic activity was upregulated during uterine contractions, and influenced the very-low-frequency components. This method of analysis may represent a novel means of identifying uterine contractions.

摘要

目的

通过基于小波的功率谱分析,评估分娩时子宫收缩存在和不存在时母体心脏自主神经系统的变化,分析分娩过程中的母体心率变异性。

方法

我们使用基于小波的功率谱分析,评估了 20 名分娩孕妇和 15 名有早产先兆孕妇的心率变异性。

结果

在子宫收缩和非收缩期间,高频分量没有显著差异。在子宫收缩期间,低频和极低频分量的强度明显强于子宫收缩之间的相应强度。

结论

在子宫收缩期间,母体交感神经活动被上调,并影响极低频分量。这种分析方法可能代表了一种识别子宫收缩的新方法。

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Gynecol Obstet Invest. 2012;74(1):35-40. doi: 10.1159/000336064. Epub 2012 Mar 31.
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