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[腹部胎儿心电图的短期变异性指数]

[The short-term variability index from abdominal fetal electrocardiogram].

作者信息

Ohno Y, Tsuji M, Tomioka M, Yamamoto T, Okada H

出版信息

Nihon Sanka Fujinka Gakkai Zasshi. 1985 Jan;37(1):53-60.

PMID:3973438
Abstract

Fetal heart rate monitoring was carried out on 37 patients between 34 and 42 weeks gestation, in 21 patients with direct fetal electrocardiogram (dFECG), and in 16 patients with abdominal fetal electrocardiogram (aFECG). The mean of the absolute beat by beat differences (MABB) and the percentage of beat by beat differences below 1 millisecond (1 msec%) and below 2 milliseconds (2 msec%) were measured from true fetal R-R intervals by a computerized technique. With dFECG, a significant inverse correlation was found between the MABB and the 1 msec% or the 2 msec%. The standard deviation of fetal R-R intervals as the LTV index showed a higher correlation to the MABB than to the 1 msec% or the 2 msec%. These results were similar to those with aFECG. In addition, with aFECG, the effect of fetal rest and activity on the MABB was significant, but the 1 msec% and the 2 msec% were not altered with periods of fetal rest and activity. The influence of the artifact in aFECG signals on the 1 msec% and the 2 msec% was less than on the MABB. The 1 msec% and the 2 msec% were reliable indices of the STV assessment from aFECG.

摘要

对37例孕34至42周的患者进行了胎儿心率监测,其中21例采用直接胎儿心电图(dFECG),16例采用腹部胎儿心电图(aFECG)。通过计算机技术从真实胎儿R-R间期测量逐搏绝对差值的平均值(MABB)以及低于1毫秒(1 msec%)和低于2毫秒(2 msec%)的逐搏差值百分比。对于dFECG,发现MABB与1 msec%或2 msec%之间存在显著的负相关。作为LTV指数的胎儿R-R间期标准差与MABB的相关性高于与1 msec%或2 msec%的相关性。这些结果与aFECG的结果相似。此外,对于aFECG,胎儿休息和活动对MABB的影响显著,但1 msec%和2 msec%在胎儿休息和活动期间没有改变。aFECG信号中的伪迹对1 msec%和2 msec%的影响小于对MABB的影响。1 msec%和2 msec%是aFECG评估STV的可靠指标。

相似文献

1
[The short-term variability index from abdominal fetal electrocardiogram].[腹部胎儿心电图的短期变异性指数]
Nihon Sanka Fujinka Gakkai Zasshi. 1985 Jan;37(1):53-60.
2
Abdominal electrocardiography in intrapartum fetal heart rate monitoring.
J Perinat Med. 1986;14(4):263-6.
3
The accuracy of abdominal ECG for fetal electronic monitoring.腹部心电图用于胎儿电子监护的准确性。
J Perinat Med. 1980;8(3):142-9. doi: 10.1515/jpme.1980.8.3.142.
4
Fetal heart variability indices and the accuracy of variability measurements.胎儿心率变异性指标及变异性测量的准确性。
Am J Perinatol. 1987 Jul;4(3):179-86. doi: 10.1055/s-2007-999768.
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[Comparison of variability (STV and LTV) indices by computer-simulated data].[通过计算机模拟数据对变异性(STV和LTV)指标进行比较]
Nihon Sanka Fujinka Gakkai Zasshi. 1983 Feb;35(2):134-42.
6
Observations in perinatal heart rate monitoring. I. A quantitative method of describing baseline variability of the fetal heart rate.
J Reprod Med. 1978 Apr;20(4):205-12.
7
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Obstet Gynecol. 1982 Jul;60(1):65-70.
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Observations on perinatal heart rate monitoring. II. Quantitative unreliability of Doppler fetal heart rate variability.围产期心率监测观察。II. 多普勒胎儿心率变异性的定量不可靠性。
J Reprod Med. 1985 Jul;30(7):519-22.
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10
Antepartal analysis of fetal heart rate variability by abdominal electrocardiography.经腹心电图对胎儿心率变异性的产前分析。
J Perinat Med. 1982;10(2):114-8. doi: 10.1515/jpme.1982.10.2.114.