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胎儿监测期间女性的心理性应激(激素水平)

Psychogenic stress in women during fetal monitoring (hormonal profile).

作者信息

Shalev E, Eran A, Harpaz-Kerpel S, Zuckerman H

出版信息

Acta Obstet Gynecol Scand. 1985;64(5):417-20. doi: 10.3109/00016348509155159.

Abstract

The influence of fetal heart rate monitoring on endocrinological parameters (growth hormone, insulin, cortisol, dopamine, epinephrine and norepinephrine) for stress was tested in women during pregnancy and in labor. Significant increases in the levels of all hormones except dopamine were found during monitoring in women with the non-stress test in comparison with the control group. Increases of more than 50% in the level of all hormones were found during labor with or without monitoring, reflecting stress during labor. The implication of fetal heart rate monitoring on the emotional state of the pregnant woman must be taken seriously.

摘要

在孕期及分娩期女性中,测试了胎儿心率监测对应激状态下内分泌参数(生长激素、胰岛素、皮质醇、多巴胺、肾上腺素和去甲肾上腺素)的影响。与对照组相比,进行无应激试验的女性在监测期间,除多巴胺外,所有激素水平均显著升高。在分娩期间,无论有无监测,所有激素水平均升高超过50%,这反映了分娩时的应激状态。必须认真对待胎儿心率监测对孕妇情绪状态的影响。

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