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[非收缩子宫中胎儿身体心电图电位及呼吸运动的定性描述]

[Qualitative description of cardiogram potentials of fetal body and respiratory movements in the non-contracting uterus].

作者信息

Gross W, Seewald H J, Eichhorn K H, Reiber W

机构信息

Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Bereichs Medizin der Friedrich-Schiller-Universität Jena.

出版信息

Zentralbl Gynakol. 1989;111(13):881-90.

PMID:2800774
Abstract

Cardiographic reflections of fetal movements were assessed using cardiogram synchronous ultrasonic examination in 44 normotrophic and 40 hypotrophic fetuses with body weights less than or equal to 10th percentile. The study showed that 90% of the fetal body movements were associated with accelerations in fetal heart rate. The degree of associated accelerations depended on the duration of the fetal body movements. In the hypotrophic fetuses the associated heart rate accelerations had a lower amplitude and a relatively longer duration. In impaired fetuses body movements were associated with decelerations in heart rate. Fetal respiratory movements resulted in an increasing beat-to-beat variability in the CTG. This effect did not occur constantly. During prolonged fetal respiratory segments no fetal body movements were observed and vice versa. Possible causes for the association between fetal movements and cardiogram are discussed.

摘要

采用心电图同步超声检查,对44例体重小于或等于第10百分位数的营养正常胎儿和40例低营养胎儿的胎动进行心脏造影反射评估。研究表明,90%的胎儿身体运动与胎儿心率加速有关。相关加速的程度取决于胎儿身体运动的持续时间。在低营养胎儿中,相关的心率加速幅度较低,持续时间相对较长。在受损胎儿中,身体运动与心率减速有关。胎儿呼吸运动导致CTG中逐搏变异性增加。这种效应并非持续发生。在胎儿长时间呼吸期间,未观察到胎儿身体运动,反之亦然。文中讨论了胎儿运动与心电图之间关联的可能原因。

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