Puech F, Le Coutour X, Beuscart R, Leroy J L, Delecour M
J Gynecol Obstet Biol Reprod (Paris). 1985;14(1):49-57.
The authors suggest an indirect evaluation of the electrocortical activity of the fetus by looking at evidence of cyclical variations in fetal cardiac rhythm. These are shown up by periodic changes in the variability of the rhythm. The narrow association that has been established between small changes in episodes of cardiac rhythm and deep sleep--which is itself evidence of satisfactory cortical development--make this type of tracing, under certain conditions, an excellent sign of fetal wellbeing. This means that the value of small variabilities in fetal heart rhythm takes on greater importance as a prognostic feature.
作者建议通过观察胎儿心律周期性变化的证据来间接评估胎儿的皮层电活动。这些变化通过心律变异性的周期性改变得以显现。心律发作的微小变化与深度睡眠之间已建立的紧密关联——深度睡眠本身就是皮层发育良好的证据——使得在某些情况下,这种类型的描记成为胎儿健康的极佳标志。这意味着胎儿心律微小变异性作为一种预后特征具有更重要的价值。