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产前腹部心电图的短期变异性评估

Short-term variability assessment from abdominal electrocardiogram during the antepartum period.

作者信息

Nageotte M P, Freeman R K, Freeman A G, Dorchester W

出版信息

Am J Obstet Gynecol. 1983 Mar 1;145(5):566-9. doi: 10.1016/0002-9378(83)91197-3.

DOI:10.1016/0002-9378(83)91197-3
PMID:6829632
Abstract

One hundred eighty-eight patients undergoing antepartum fetal heart rate (FHR) monitoring with abdominal fetal electrocardiogram (ECG) technique were studied with respect to FHR variability derived from fetal R-R intervals. Statistically significant positive correlation existed between various measures of FHR variability and accelerations per minute (p less than 0.01). Insufficient numbers of positive contraction stress tests (CST) were available to establish a relationship with variability, although a trend existed between positive CST and low variability. Postdate pregnancies had significantly higher variability than nonpostdate pregnancies (p less than .05). This mathematical analysis establishes statistical significance between short-term variability and accelerations per minute and application of this technique for assessment of true variability in antepartum testing is possible.

摘要

对188例采用腹部胎儿心电图(ECG)技术进行产前胎儿心率(FHR)监测的患者,就胎儿R-R间期得出的FHR变异性进行了研究。FHR变异性的各项测量指标与每分钟胎动加速之间存在显著的正相关(p<0.01)。虽然阳性宫缩应激试验(CST)与变异性之间存在一种趋势,但由于阳性CST数量不足,无法确定它们之间的关系。过期妊娠的变异性显著高于未过期妊娠(p<0.05)。该数学分析确定了短期变异性与每分钟胎动加速之间的统计学意义,并且该技术可用于评估产前检查中的真实变异性。

相似文献

1
Short-term variability assessment from abdominal electrocardiogram during the antepartum period.产前腹部心电图的短期变异性评估
Am J Obstet Gynecol. 1983 Mar 1;145(5):566-9. doi: 10.1016/0002-9378(83)91197-3.
2
Fetal heart rate variability: an approach to automated assessment.胎儿心率变异性:一种自动评估方法。
Am J Obstet Gynecol. 1979 Jul 15;134(6):691-5. doi: 10.1016/0002-9378(79)90652-5.
3
Variable range directional doppler and abdominal ECG for FHR monitoring.用于胎儿心率监测的可变范围定向多普勒和腹部心电图
Int J Gynaecol Obstet. 1978;15(6):507-14. doi: 10.1002/j.1879-3479.1977.tb00744.x.
4
The role of a trial of labor with a positive contraction stress test.
Am J Obstet Gynecol. 1979 Oct 1;135(3):292-6. doi: 10.1016/0002-9378(79)90692-6.
5
Comparative study of stressed and nonstressed antepartum fetal heart rate testing.有应激与无应激产前胎儿心率检测的对比研究
Obstet Gynecol. 1981 Mar;57(3):320-4.
6
Microprocessor-controlled doppler. A new fetal heart rate monitoring technique.
J Reprod Med. 1982 Jun;27(6):352-5.
7
Clinical significance of short-term variability computed from heart-rate waveforms.从心率波形计算得出的短期变异性的临床意义。
J Perinat Med. 1983;11(5):243-8. doi: 10.1515/jpme.1983.11.5.243.
8
The nonstress test for the antepartum assessment of fetal reserve.用于产前评估胎儿储备的无应激试验。
Am J Obstet Gynecol. 1979 Jun 15;134(4):460-70. doi: 10.1016/s0002-9378(16)33089-7.
9
[The clinical significance of accelerations in intrapartum fetal heart rate monitoring (author's transl)].产时胎儿心率监测中加速的临床意义(作者译)
Z Geburtshilfe Perinatol. 1980 Jun;184(3):195-9.
10
[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.

引用本文的文献

1
A systematic scoping review to identify the design and assess the performance of devices for antenatal continuous fetal monitoring.系统范围界定综述,旨在确定产前连续胎儿监测设备的设计,并评估其性能。
PLoS One. 2020 Dec 1;15(12):e0242983. doi: 10.1371/journal.pone.0242983. eCollection 2020.
2
Electronic fetal monitoring in a small hospital. Part 1: antepartum use.小型医院中的电子胎儿监护。第 1 部分:产前应用。
Can Fam Physician. 1984 Oct;30:2054-8.