Okai T
Nihon Sanka Fujinka Gakkai Zasshi. 1984 Apr;36(4):539-48.
Fetal heart rate variability in an experimentally induced acute hypoxic state was investigated using chronically prepared fetal goats. FHR variability was calculated using a microcomputer with the R-R intervals of the direct fetal ECG signal measured with a peak detector. The accuracy of the peak detector was 0.1 msec. The formula for FHR variability was as follows: (Formula: see text) A fetal acute hypoxic state was induced by maternal inhalation of a gas mixture low in O2 concentration. The fetal condition was evaluated by blood gas analysis of the fetal carotid artery. In mild fetal hypoxemia due to the maternal inhalation of a gas mixture including 8-10% of O2, both STV and LTV were increased at 10-20 minutes after the beginning of the experiment. Subsequently, both were decreased at 30-40 minutes, but maintained a level higher than that of the control. When severe fetal hypoxemia was induced by the maternal inhalation of the gas mixture containing 4-6% of O2, both STV and LTV increased at 10-20 minutes after induction, then decreased to a level lower than that of the control at 30-40 minutes. No significant difference in fetal PO2 was observed between the 10-20 min. period and the 30-40 min. period of the severe hypoxemic state. But significant differences in pH and BE values were found when the 10-20 min. period and the 30-40 min. period were compared. When data showing the fetal arterial pH and BE to be significantly lower than those of the control at 30-40 min. of the severe hypoxemic state were excluded, significant negative correlations were found between PO2 and STV and between PO2 and LTV . It appeared that FHR variability, both STV and LTV , would increase during the acute hypoxemic state and that they would decrease to a level lower than that of the control after metabolic acidosis occurred due to continuing hypoxemia.
利用长期制备的胎羊研究实验性诱导的急性缺氧状态下的胎儿心率变异性。使用微型计算机根据通过峰值检测器测量的直接胎儿心电图信号的R-R间期计算心率变异性。峰值检测器的精度为0.1毫秒。心率变异性的计算公式如下:(公式:见正文)通过母体吸入低氧浓度的气体混合物诱导胎儿急性缺氧状态。通过对胎儿颈动脉进行血气分析来评估胎儿状况。在母体吸入含8-10%氧气的气体混合物导致的轻度胎儿低氧血症中,实验开始后10-20分钟时,短期变异性(STV)和长期变异性(LTV)均增加。随后,两者在30-40分钟时均下降,但维持在高于对照组的水平。当母体吸入含4-6%氧气的气体混合物诱导严重胎儿低氧血症时,诱导后10-20分钟时STV和LTV均增加,然后在30-40分钟时降至低于对照组的水平。在严重低氧血症状态的10-20分钟期间和30-40分钟期间,胎儿动脉血氧分压(PO2)未观察到显著差异。但比较10-20分钟期间和30-40分钟期间时,发现pH值和碱剩余(BE)值存在显著差异。当排除严重低氧血症状态30-40分钟时显示胎儿动脉pH值和BE值显著低于对照组的数据后,发现PO2与STV之间以及PO2与LTV之间存在显著负相关。似乎在急性低氧血症状态下,心率变异性(STV和LTV)均会增加,而在持续低氧血症导致代谢性酸中毒后,它们会降至低于对照组的水平。