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无应激试验:多长时间足够?

The nonstress test: how long is enough?

作者信息

Brown R, Patrick J

出版信息

Am J Obstet Gynecol. 1981 Nov 15;141(6):646-51. doi: 10.1016/s0002-9378(15)33305-6.

DOI:10.1016/s0002-9378(15)33305-6
PMID:7315894
Abstract

Longer observation intervals might increase the positive predictive value of a nonreactive nonstress test (NST). One thousand one hundred and one NSTs were performed on 343 fetuses in 333 high-risk hospitalized patients. Recordings were terminated when five fetal heart rate (FHR) accelerations with movement occurred in any 20-minute period or after 120 minutes. The conclusion drawn was that the positive predictive value for morbidity and mortality of a nonreactive NST was 85.7% if conducted over 120 minutes, and that the negative predictive value for a reactive NST was 98.5%. A reactive NST was predictive of good fetal health regardless of the length of observation time necessary to demonstrate reactivity up to 120 minutes.

摘要

更长的观察间隔可能会提高无应激试验(NST)无反应型结果的阳性预测值。对333例高危住院患者的343例胎儿进行了1101次NST。当在任何20分钟时间段内出现5次伴有胎动的胎儿心率(FHR)加速或在120分钟后,记录终止。得出的结论是,如果NST持续120分钟以上,无反应型结果对于发病率和死亡率的阳性预测值为85.7%,而反应型结果的阴性预测值为98.5%。无论显示反应型结果所需的观察时间长短(最长120分钟),反应型NST都可预测胎儿健康状况良好。

相似文献

1
The nonstress test: how long is enough?无应激试验:多长时间足够?
Am J Obstet Gynecol. 1981 Nov 15;141(6):646-51. doi: 10.1016/s0002-9378(15)33305-6.
2
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.
3
The nonstress test: a review of 3,000 tests.无应激试验:3000例试验的综述。
Am J Obstet Gynecol. 1981 Jan;139(1):7-10. doi: 10.1016/0002-9378(81)90401-4.
4
A new modality in nonstress testing: evaluation of beat-to-beat fetal heart rate variability.无应激试验的一种新模式:逐搏胎儿心率变异性评估
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Continuing role of the nonstress test in the management of postdates pregnancy.无应激试验在过期妊娠管理中的持续作用。
Obstet Gynecol. 1984 Nov;64(5):624-8.
6
Nonstress testing and perinatal outcome.无应激试验与围产期结局。
J Reprod Med. 1980 May;24(5):191-6.
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The significance of fetal heart rate decelerations during nonstress testing.无应激试验期间胎儿心率减速的意义。
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Fetal breathing movements and the nonstress test in high-risk pregnancies.高危妊娠中的胎儿呼吸运动与无应激试验
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The predictive value of fetal acoustic stimulation.胎儿听觉刺激的预测价值。
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The nonstress test: the false negative test.无应激试验:假阴性试验。
Am J Obstet Gynecol. 1982 Feb 1;142(3):293-6. doi: 10.1016/0002-9378(82)90733-5.

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2
Do different positions during a non-stress test affect the maternofetal physiological parameters and comfort in pregnant women?无应激试验期间的不同体位是否会影响孕妇的母婴生理参数及舒适度?
J Educ Health Promot. 2022 Nov 26;11:386. doi: 10.4103/jehp.jehp_641_22. eCollection 2022.
3
Planned early delivery versus expectant management of the term suspected compromised baby for improving outcomes.
计划早期分娩与对足月疑似胎儿窘迫的婴儿进行期待管理以改善结局。
Cochrane Database Syst Rev. 2015 Nov 24;2015(11):CD009433. doi: 10.1002/14651858.CD009433.pub2.
4
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.
5
Can brain impairment be detected by in utero behavioural patterns?子宫内行为模式能否检测出脑损伤?
Arch Dis Child. 1993 Jul;69(1 Spec No):3-8. doi: 10.1136/adc.69.1_spec_no.3.
6
Fetal monitoring and neonatal resuscitation: what the anaesthetist should know.胎儿监测与新生儿复苏:麻醉医生应了解的内容。
Can J Anaesth. 1991 May;38(4 Pt 2):R74-88. doi: 10.1007/BF03008436.
7
The unreactive fetal heart rate.胎儿心率无反应。
Arch Dis Child. 1992 Oct;67(10 Spec No):1237-41. doi: 10.1136/adc.67.10_spec_no.1237.