监测分娩室中的心率。

Monitoring heart rate in the delivery room.

机构信息

Newborn Research Centre, The Royal Women's Hospital, Melbourne, Victoria, Australia; Neonatal Research, Murdoch Children's Research Institute, Melbourne, Victoria, Australia; Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria, Australia.

Centre for the Studies of Asphyxia and Resuscitation, Royal Alexandra Hospital, Edmonton, Alberta, Canada; Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.

出版信息

Semin Fetal Neonatal Med. 2018 Oct;23(5):327-332. doi: 10.1016/j.siny.2018.07.001. Epub 2018 Jul 6.

DOI:10.1016/j.siny.2018.07.001

PMID:30005922

Abstract

Resuscitation algorithms and guidelines highlight the importance of heart rate (HR) in determining interventions and assessing their effect. However, the actual HR values used are historical based upon normal physiology, and HR at birth may be affected by mode of delivery and timing of cord clamping as well as respiratory status and condition at delivery. Furthermore, the most accurate and effective ways to assess and monitor HR in the newborn infant are only now becoming established. This article examines the importance of HR values and the most widely used methods of estimation as well as some newer modalities which are being developed.

摘要

复苏算法和指南强调了心率 (HR) 在确定干预措施和评估其效果方面的重要性。然而，实际使用的 HR 值是基于正常生理学的历史数据，出生时的 HR 可能会受到分娩方式、脐带夹闭时间以及分娩时呼吸状态和状况的影响。此外，目前才刚刚确定评估和监测新生儿 HR 的最准确和有效的方法。本文探讨了 HR 值的重要性以及最广泛使用的估计方法，以及一些正在开发的新方法。