Nielsen P V, Stigsby B, Nickelsen C, Nim J
Department of Obstetrics and Gynecology, Gentofte Hospital, Denmark.
Acta Obstet Gynecol Scand. 1988;67(5):461-4. doi: 10.3109/00016348809004260.
The chief aim of our work has been to create a computer Cardiotocographic Assessment System (CAS) and thus eliminate the intra- and inter-observer variability of the visual assessment of the cardiotocogram (CTG), and to improve the assessment of the CTGs to the standard of the most experienced obstetricians. The purpose of this paper is to present the accuracy of the prediction of fetal outcome obtained by the CAS and to compare it with 4 experienced obstetricians' accuracy. Fifty CTGs from the last 30 min. of labor were assessed as normal or pathological by the computer and by the obstetricians. The condition of the newborn was evaluated from the one-minute Apgar score, the umbilical artery pH and standard base excess, and the need for resuscitation. The accuracy of the CAS was significantly better than the accuracy of the obstetrician obtaining the best result. We conclude that the development of a computer-aided cardiotocographic assessment system is worthwhile.
我们工作的主要目标是创建一个计算机产时胎心监护评估系统（CAS），从而消除胎心监护图（CTG）视觉评估中观察者内部和观察者之间的变异性，并将CTG的评估提升至最有经验的产科医生的水平。本文的目的是展示CAS获得的胎儿结局预测准确性，并将其与4位经验丰富的产科医生的准确性进行比较。对分娩最后30分钟的50份CTG进行计算机和产科医生评估，判断为正常或异常。根据新生儿1分钟阿氏评分、脐动脉pH值和标准碱剩余以及复苏需求评估新生儿状况。CAS的准确性显著优于获得最佳结果的产科医生的准确性。我们得出结论，开发计算机辅助产时胎心监护评估系统是值得的。
