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[产前胎心监护在高危妊娠中的价值——无应激试验与缩宫素激惹试验的对比评估]

[Value of antepartal cardiotocogram in risk pregnancies--comparative evaluation of the non-stress test and oxytocin stress test].

作者信息

Quaas L, Siebers J W, Hillemanns H G

出版信息

Z Geburtshilfe Perinatol. 1985 Jul-Aug;189(4):173-8.

PMID:4049985
Abstract

247 patients with risk of uteroplacental insufficiency were monitored by 434 oxytocin challenge tests (OCT) and non-stress-tests (NST). A non-reactive NST was found in 20% of the patients. Late decelerations in the OCT were observed in 19%. With respect to late decelerations and loss of reactivity in the OCT, the results of the stress tests were pathological in 29% of the patients. Based on the evaluation of late decelerations only, the OCT does not appear to be superior to the NST. Only when the reactivity criterion is additionally taken into account can the diagnostic rating of the OCT be given more value than that of the NST. Furthermore, it could be established that the loss of reactivity is of greater importance than late decelerations in the presence of reactivity.

摘要

对247例存在子宫胎盘功能不全风险的患者进行了434次催产素激惹试验(OCT)和无应激试验(NST)监测。20%的患者无应激试验结果无反应。催产素激惹试验出现晚期减速的患者占19%。就晚期减速和催产素激惹试验反应性消失而言,29%的患者应激试验结果为病理性。仅基于晚期减速的评估,催产素激惹试验似乎并不优于无应激试验。只有在额外考虑反应性标准时,催产素激惹试验的诊断价值才会高于无应激试验。此外,可以确定,在存在反应性的情况下,反应性消失比晚期减速更为重要。

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