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[子宫底部胎心监护图的评估经验(作者译)]

[Experiences in the assessment of the subpartal cardiotocogram (author's transl)].

作者信息

Bögelspacher H R, Schlotter C M, Böhm H R, Zubke W, Scheub A, Wössner G

出版信息

Geburtshilfe Frauenheilkd. 1981 Oct;41(10):714-7. doi: 10.1055/s-2008-1037321.

Abstract

750 cardiotocographic curves of the last 30 minutes prior to vaginal delivery were assessed retrospectively according to the CTG score after Hammacher et al. (6). The aim of this study was to examine the prognostic value of the CTG score with regard to the foetal acid-base stains. The results obtained showed a distinct interdependence between the CTG score and the risk of foetal acidosis. Correct interpretation of the CTG can be ensured only if all three different CTG parameters are considered. The most frequent and reliable pointers to the existence of foetal acidosis are the occurrence of severe variable or late decelerations which can be detected from an examination of the floating-line pattern.

摘要

根据哈马彻等人(6)提出的CTG评分标准,对阴道分娩前最后30分钟的750条胎心监护曲线进行了回顾性评估。本研究的目的是探讨CTG评分对胎儿酸碱状态的预后价值。所得结果显示CTG评分与胎儿酸中毒风险之间存在明显的相互关系。只有考虑到所有三个不同的CTG参数,才能确保对CTG进行正确解读。胎儿酸中毒存在的最常见和可靠指标是严重变异或晚期减速的出现,这可以通过检查浮动线模式来检测。

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