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产前诊断的无应激试验(作者译)

[Non-stress test for antenatal diagnosis (author's transl)].

作者信息

Bártfai G, Kovács L

出版信息

Zentralbl Gynakol. 1982;104(7):427-32.

PMID:7102160
Abstract

A non-stress test was applied to 186 women with high-risk pregnancy, and an oxytocin provocation test was added immediately. Increased frequency or acceleration of foetal heart rate accompanied by foetal movement was defined as "reactive" and interpreted as good condition of the foetus. Absence of accelerations adequate in number and magnitude within 30 minutes from testing was considered as alarming. Such tests were defined "non-reactive". Such situations could be attributed to temporary hypoxia or sleep of the foetus. Both the number of positive oxytocin provocation tests and perinatal morbidity were higher with significance (p less than 0.001) in the "non-reactive" group. One perinatal death occurred in that group. The non-stress test proved to be a non-invasive, harmless method and highly reliable for screening of women for high-risk pregnancy. It enabled better economy of cost and time and in the use of equipment.

摘要

对186名高危妊娠女性进行了无应激试验,并立即加做了催产素激惹试验。胎儿心率随胎动增加的频率或加速被定义为“反应型”,并被解释为胎儿状况良好。从测试开始30分钟内未出现数量和幅度足够的加速被视为警示信号。此类测试被定义为“无反应型”。这种情况可能归因于胎儿暂时缺氧或睡眠。“无反应型”组催产素激惹试验阳性次数和围产期发病率均显著更高(p<0.001)。该组发生了1例围产期死亡。无应激试验被证明是一种无创、无害的方法,对于高危妊娠女性的筛查高度可靠。它在成本、时间和设备使用方面实现了更好的经济性。

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