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评估声刺激和哺乳母亲刺激对无反应无应激试验的影响:一项随机临床试验。

Evaluation of the effects of acoustic stimulation and feeding mother stimulation on non-reactive non-stress test: a randomized clinical trial.

机构信息

Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Arch Gynecol Obstet. 2013 Jun;287(6):1105-10. doi: 10.1007/s00404-012-2695-6. Epub 2013 Jan 18.

DOI:10.1007/s00404-012-2695-6
PMID:23329342
Abstract

PURPOSE

Non-stress test (NST) is known as one of the most common assessments for evaluation of fetus well being. Since the prevalence of its false positive results is high and majority of fetuses with non-reactive results are not at risk, it is important to find out effective approaches to identify such results to avoid unnecessary interventions. So this survey was conducted with the aim of comparing the effects of acoustic stimulation with feeding mothers stimulation on non-reactive NST results.

SUBJECTS AND METHODS

This study preformed on 104 healthy pregnant women with non-reactive NST results and gestational ages between 32 and 42 weeks in Tabriz Alzahra hospital. Subjects were divided into two groups for acoustic stimulation and feeding mother stimulation. Half an hour later NST repeated for participants of each group in the same environmental condition and again the results evaluated.

RESULTS

According to our findings, 75 % of subjects with non-reactive NST results changed to reactive after acoustic stimulation group. However, 80 % of participants with non-reactive NST results changed into reactive after feeding stimulation. No significant differences found while comparing test results.

CONCLUSION

Both stimulating approaches were effective in the identification of false positive NSTs and might be useful in preventing the unnecessary interventions.

摘要

目的

无应激试验(NST)是评估胎儿健康状况最常用的评估方法之一。由于其假阳性结果的发生率较高,且大多数无反应结果的胎儿并无风险,因此找到有效方法来识别这些结果以避免不必要的干预非常重要。因此,进行了这项调查,旨在比较声刺激与母亲喂养刺激对无反应 NST 结果的影响。

对象与方法

本研究在大不里士 Alzahra 医院对 104 名胎龄在 32 至 42 周之间、NST 结果无反应的健康孕妇进行了研究。将受试者分为声刺激组和母乳喂养刺激组。半小时后,在相同的环境条件下对每组参与者重复进行 NST,再次评估结果。

结果

根据我们的发现,声刺激组 75%的无反应 NST 结果在刺激后变为有反应。然而,在母乳喂养刺激组中,80%的无反应 NST 结果在刺激后变为有反应。在比较测试结果时未发现显著差异。

结论

两种刺激方法均能有效识别假阳性 NST,并可能有助于预防不必要的干预。

相似文献

1
Evaluation of the effects of acoustic stimulation and feeding mother stimulation on non-reactive non-stress test: a randomized clinical trial.评估声刺激和哺乳母亲刺激对无反应无应激试验的影响:一项随机临床试验。
Arch Gynecol Obstet. 2013 Jun;287(6):1105-10. doi: 10.1007/s00404-012-2695-6. Epub 2013 Jan 18.
2
Clinical study on detecting false non-reactive of non-stress test by improved acoustic stimulation.改良声刺激检测无应激试验假无反应的临床研究。
Arch Gynecol Obstet. 2011 Aug;284(2):271-4. doi: 10.1007/s00404-010-1621-z. Epub 2010 Jul 31.
3
Fetal vibro-acoustic stimulation with a can--a clinical study.
S Afr Med J. 1998 Feb;88(2 Suppl):199-200, 203.
4
Continuing experience with the fetal acoustic stimulation test.
J Reprod Med. 1988 Apr;33(4):365-8.
5
Fetal acoustic stimulation test for early intrapartum fetal monitoring.用于产时早期胎儿监测的胎儿声刺激试验
Ceylon Med J. 2011 Mar;56(1):14-8. doi: 10.4038/cmj.v56i1.2889.
6
[Evaluation of fetal well-being by vibro-acoustic stimulation test].
Zhonghua Fu Chan Ke Za Zhi. 1994 Jun;29(6):322-4, 380.
7
Chocolate or orange juice for non-reactive non-stress test (NST) patterns: a randomized prospective controlled study.巧克力或橙汁用于无反应型无应激试验(NST)模式:一项随机前瞻性对照研究。
J Matern Fetal Neonatal Med. 2013 Jun;26(9):915-9. doi: 10.3109/14767058.2013.766698. Epub 2013 Feb 11.
8
Maternal position during non-stress test and fetal heart rate patterns.无应激试验期间的母体体位与胎儿心率模式
Acta Obstet Gynecol Scand. 2005 Apr;84(4):335-8. doi: 10.1111/j.0001-6349.2005.00644.x.
9
[Clinical evaluation of antepartum vibratory acoustic stimulation test].
Zhonghua Fu Chan Ke Za Zhi. 1991 Mar;26(2):71-4, 123.
10
Fetal acoustic stimulation testing. III. Predictive value of a reactive test.
J Reprod Med. 1988 Feb;33(2):217-8.

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Medicine (Baltimore). 2018 Feb;97(7):e9755. doi: 10.1097/MD.0000000000009755.
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Diagnostic value of non stress test in latent phase of labor and maternal and fetal outcomes.无应激试验在分娩潜伏期的诊断价值及母婴结局
Glob J Health Sci. 2014 Oct 28;7(2):177-82. doi: 10.5539/gjhs.v7n2p177.
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Fetal vibroacoustic stimulation for facilitation of tests of fetal wellbeing.胎儿声振刺激以促进胎儿健康测试
Cochrane Database Syst Rev. 2013 Dec 7;2013(12):CD002963. doi: 10.1002/14651858.CD002963.pub2.