Schmidt W, Hara K, Cseh I
Geburtshilfe Frauenheilkd. 1983 Sep;43(9):548-51. doi: 10.1055/s-2008-1036575.
The results of the concomitant monitoring of the fetal heart rate and the total fetal movement activity by two ultrasound monitors are reported. In 111 patients from 26 weeks gestation to term the cardiotocogram and the fetal movement activity were at the same time monitored with two ultrasound monitors. In total 453 fetal heart rate accelerations of more than 15 beats per minute and more than 15 seconds duration were found in all cardiotocograms. The most frequent finding with an acceleration of the fetal heart rate were fetal body movements with or without movements of the extremities in 71% of the fetal heart rate accelerations. In 18% of the fetal heart rate accelerations movements of the fetal extremities were found by ultrasonography. In 7% of the fetal heart rate accelerations, fetal respiratory movements or contractions were found without fetal body movements. 4% of the fetal heart rate accelerations occurred without sonographically or topographically recognizable cause. In all ultrasonographically recognized fetal movements of the body and/or the extremities the fetal heart rate accelerations occurred in 28% of the cases. The most frequent findings were movements of the fetal body with or without movements of the fetal extremities in 48% of the fetal heart rate accelerations. In isolated movements of the fetal extremeties the fetal heart rate was only accelerated in 11% of the cases.
报告了使用两台超声监测仪同时监测胎儿心率和胎儿总活动情况的结果。对111例妊娠26周直至足月的患者，使用两台超声监测仪同时监测了胎心监护图和胎儿活动情况。在所有胎心监护图中，共发现453次胎儿心率加速，每分钟超过15次心跳且持续时间超过15秒。胎儿心率加速时最常见的情况是，71%的胎儿心率加速伴有胎儿身体运动，无论有无肢体运动。在18%的胎儿心率加速中，超声检查发现了胎儿肢体运动。在7%的胎儿心率加速中，发现胎儿有呼吸运动或宫缩，但无胎儿身体运动。4%的胎儿心率加速在超声或形态学上无明显原因。在所有超声检查发现的胎儿身体和/或肢体运动中，28%的病例出现了胎儿心率加速。最常见的情况是，48%的胎儿心率加速伴有胎儿身体运动，无论有无胎儿肢体运动。在孤立的胎儿肢体运动中，只有11%的病例出现胎儿心率加速。
