Nathanielsz P W, Bailey A, Poore E R, Thorburn G D, Harding R
Am J Obstet Gynecol. 1980 Nov 15;138(6):653-9. doi: 10.1016/0002-9378(80)90083-6.
Between 106 and 144 days' gestation, periods of uterine electromyographic (EMG) activity and associated increases in uterine tone (contractures) were accompanied by a change in fetal ocular activity in 294 (63%) of 467 cases. In 260 (88.4%) of the changes, there was a switch fromm the active to nonactive state. The incidence of this change was significantly greater (p < 0.01) than the switch from the nonactive to the active state. The fetal electrocorticogram changed state in 34 (74%) of 46 contractures, the change being from low-amplitude to high-amplitude activity in 28 (82%) of the cases. This difference was significant (p < 0.01). Fetal breathing movements (FBM), as indicated by activity of the posterior cricoarytenoid muscle, changed in 134 (55%) of 243 contractures, the change being from active to the quiescent state in 115 (85%) of contractures. Diaphragmatic activity changed in 11 (61%) of 183 contractures, with a change from activity to quiescence occurring in 100 instances (90%). Changes in tracheal pressure were associated with an altered state of FBM in 190 (61%) of 314 contractures, and the change was from the presence of FBM to absence of them in 178 (94%) of the changes. In all three of these indicators of FBM, the change from breathing activity to quiescence was statistically significant (p < 0.01).
在妊娠106至144天期间,467例中有294例(63%)出现子宫肌电图(EMG)活动期及相关子宫张力增加(挛缩),同时伴有胎儿眼活动变化。在260例(88.4%)此类变化中,出现了从活动状态到非活动状态的转变。这种转变的发生率显著高于(p<0.01)从非活动状态到活动状态的转变。在46次挛缩中有34例(74%)胎儿脑电图发生状态改变,其中28例(82%)为从低振幅活动转变为高振幅活动。这种差异具有统计学意义(p<0.01)。以环杓后肌活动表示的胎儿呼吸运动(FBM),在243次挛缩中有134例(55%)发生变化,其中115例(85%)为从活动状态转变为静止状态。在183次挛缩中有11例(61%)膈肌活动发生变化,其中100例(90%)从活动转变为静止。在314次挛缩中有190例(61%)气管压力变化与FBM状态改变相关,其中178例(94%)变化为从有FBM到无FBM。在FBM的所有这三个指标中,从呼吸活动到静止的变化具有统计学意义(p<0.01)。