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人类妊娠晚期及活跃分娩期子宫电图数据的相位熵分析

Phase Entropy Analysis of Electrohysterographic Data at the Third Trimester of Human Pregnancy and Active Parturition.

作者信息

Reyes-Lagos José Javier, Pliego-Carrillo Adriana Cristina, Ledesma-Ramírez Claudia Ivette, Peña-Castillo Miguel Ángel, García-González María Teresa, Pacheco-López Gustavo, Echeverría Juan Carlos

机构信息

Faculty of Medicine, Autonomous University of the State of Mexico (UAEMex), Toluca 50180, Mexico.

Basic Sciences and Engineering Division (CBI), Campus Iztapalapa, Metropolitan Autonomous University (UAM), Mexico City 09340, Mexico.

出版信息

Entropy (Basel). 2020 Jul 22;22(8):798. doi: 10.3390/e22080798.

DOI:10.3390/e22080798
PMID:33286569
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7517370/
Abstract

Phase Entropy () was recently introduced for evaluating the nonlinear features of physiological time series. has been demonstrated to be a robust approach in comparison to other entropy-based methods to achieve this goal. In this context, the present study aimed to analyze the nonlinear features of raw electrohysterogram (EHG) time series collected from women at the third trimester of pregnancy (TT) and later during term active parturition (P) by . We collected 10-min longitudinal transabdominal recordings of 24 low-risk pregnant women at TT (from 35 to 38 weeks of pregnancy) and P (>39 weeks of pregnancy). We computed the second-order difference plots (SODPs) for the TT and P stages, and we evaluated the by modifying the value, a coarse-graining parameter. Our results pointed out that in TT is characterized by a higher likelihood of manifesting nonlinear dynamics compared to the P condition. However, both conditions maintain percentages of nonlinear series higher than 66%. We conclude that the nonlinear features appear to be retained for both stages of pregnancy despite the uterine and cervical reorganization process that occurs in the transition from the third trimester to parturition.

摘要

相位熵()最近被引入用于评估生理时间序列的非线性特征。与其他基于熵的方法相比,已被证明是实现这一目标的一种稳健方法。在此背景下,本研究旨在通过分析从妊娠晚期(TT)及之后足月分娩活跃期(P)的女性收集的原始子宫电图(EHG)时间序列的非线性特征。我们收集了24名低风险孕妇在TT期(妊娠35至38周)和P期(妊娠>39周)的10分钟纵向经腹记录。我们计算了TT期和P期的二阶差分图(SODP),并通过修改粗粒化参数的值来评估。我们的结果指出,与P期相比,TT期表现出非线性动力学的可能性更高。然而,两种情况的非线性序列百分比均保持在66%以上。我们得出结论,尽管从妊娠晚期到分娩的过渡过程中发生了子宫和宫颈的重组过程,但妊娠两个阶段的非线性特征似乎都得以保留。

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本文引用的文献

1
Complexity of Cardiotocographic Signals as A Predictor of Labor.作为分娩预测指标的胎心监护信号复杂性
Entropy (Basel). 2020 Jan 16;22(1):104. doi: 10.3390/e22010104.
2
Comparison of fetal heart rate variability by symbolic dynamics at the third trimester of pregnancy and low-risk parturition.妊娠晚期和低风险分娩时通过符号动力学比较胎儿心率变异性
Heliyon. 2020 Mar 12;6(3):e03485. doi: 10.1016/j.heliyon.2020.e03485. eCollection 2020 Mar.
3
Characterization of EHG Contractions at Pregnancy and Term Labor by Multiscale Entropy Analysis.
基于多尺度熵分析的孕期及足月分娩时子宫肌电图收缩特征研究
Annu Int Conf IEEE Eng Med Biol Soc. 2019 Jul;2019:5987-5990. doi: 10.1109/EMBC.2019.8856969.
4
Phase entropy: a new complexity measure for heart rate variability.相位熵:心率变异性的一种新复杂度测度。
Physiol Meas. 2019 Nov 4;40(10):105006. doi: 10.1088/1361-6579/ab499e.
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Uterine electromyography for discrimination of labor imminence in women with threatened preterm labor under tocolytic treatment.子宫肌电图在保胎治疗的先兆早产孕妇中预测临产的应用。
Med Biol Eng Comput. 2019 Feb;57(2):401-411. doi: 10.1007/s11517-018-1888-y. Epub 2018 Aug 29.
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A Comprehensive Evaluation of the Predictive Abilities of Fetal Electrocardiogram-Derived Parameters during Labor in Newborn Acidemia: Our Institutional Experience.分娩时胎儿心电图衍生参数对新生儿酸中毒的预测能力的综合评估:我们的机构经验。
Biomed Res Int. 2018 May 17;2018:3478925. doi: 10.1155/2018/3478925. eCollection 2018.
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Electrohysterographic characterization of the uterine myoelectrical response to labor induction drugs.子宫肌电对引产药物反应的电子宫图特征分析
Med Eng Phys. 2018 Jun;56:27-35. doi: 10.1016/j.medengphy.2018.04.002. Epub 2018 Apr 23.
8
Feasibility of Transabdominal Electrohysterography for Analysis of Uterine Activity in Nonpregnant Women.经腹子宫电描记术分析非妊娠女性子宫活动的可行性
Reprod Sci. 2018 Jul;25(7):1124-1133. doi: 10.1177/1933719118768700. Epub 2018 Apr 15.
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Electrohysterography in the diagnosis of preterm birth: a review.电子宫描记术在早产诊断中的应用:综述。
Physiol Meas. 2018 Feb 26;39(2):02TR01. doi: 10.1088/1361-6579/aaad56.
10
CTG Analyzer: A graphical user interface for cardiotocography.CTG分析仪:一种用于胎心监护的图形用户界面。
Annu Int Conf IEEE Eng Med Biol Soc. 2017 Jul;2017:2606-2609. doi: 10.1109/EMBC.2017.8037391.