Marrin M, Paes B A
Department of Pediatrics (Neonatal Division), McMaster University Medical Centre, Hamilton, Ontario, Canada.
Obstet Gynecol. 1988 Jul;72(1):120-3.
The current literature was reviewed to evaluate the Apgar score as a diagnostic test for the presence of asphyxia. Several studies were examined and the sensitivity, specificity, and predictive values of the Apgar scores calculated. Using an umbilical cord arterial pH below 7.2 as evidence of asphyxia, the one-minute Apgar score showed poor sensitivity as a marker of asphyxia. Therefore, we discourage reference to the term "asphyxia" when Apgar scores alone are used as supportive evidence.
对当前文献进行了综述，以评估阿氏评分作为窒息诊断测试的价值。审查了多项研究，并计算了阿氏评分的敏感性、特异性和预测值。以脐动脉血pH值低于7.2作为窒息的证据，一分钟阿氏评分作为窒息标志物的敏感性较差。因此，当仅使用阿氏评分作为支持证据时，我们不鼓励使用“窒息”一词。
