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子宫收缩对胎儿血氧饱和度的影响。

The effect of uterine contractions on fetal oxygen saturation.

作者信息

McNamara H, Johnson N

机构信息

Leeds General Infirmary, Academic Unit of Obstetrics and Gynaecology, UK.

出版信息

Br J Obstet Gynaecol. 1995 Aug;102(8):644-7. doi: 10.1111/j.1471-0528.1995.tb11403.x.

DOI:10.1111/j.1471-0528.1995.tb11403.x
PMID:7654643
Abstract

OBJECTIVE

To find out what happens to fetal arteriolar oxygen saturation during a uterine contraction.

DESIGN

Prospective observational study.

SETTING

Labour ward, St James's University Hospital, Leeds.

SUBJECTS

Eighteen women in normal labour monitored with a fetal scalp surface pulse oximetry sensor, an intrauterine pressure catheter, and a head to cervix force transducer.

METHODS

The effect of intrauterine pressure and head to cervix force on fetal arteriolar oxygen saturation was examined using time series analysis and a regression model of 159 contractions.

OUTCOME MEASURE

Fetal oxygen saturation during a contraction.

RESULTS

The average oxygen saturation drops after a contraction. The greatest drop in oxygen saturation is reached 92 s after the peak of a contraction and takes approximately 1 min 30 s to recover (P = 0.036).

CONCLUSION

Uterine contractions during normal labour affect fetal oxygen saturation.

摘要

目的

了解子宫收缩期间胎儿小动脉血氧饱和度会发生什么变化。

设计

前瞻性观察性研究。

地点

利兹圣詹姆斯大学医院的分娩病房。

研究对象

18名正常分娩的女性,使用胎儿头皮表面脉搏血氧饱和度传感器、宫内压力导管和头部至宫颈力传感器进行监测。

方法

采用时间序列分析和159次宫缩的回归模型,研究宫内压力和头部至宫颈力对胎儿小动脉血氧饱和度的影响。

观察指标

宫缩期间胎儿血氧饱和度。

结果

宫缩后平均血氧饱和度下降。血氧饱和度在宫缩峰值后92秒降至最低,大约需要1分30秒恢复(P = 0.036)。

结论

正常分娩期间的子宫收缩会影响胎儿血氧饱和度。

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1
The effect of uterine contractions on fetal oxygen saturation.子宫收缩对胎儿血氧饱和度的影响。
Br J Obstet Gynaecol. 1995 Aug;102(8):644-7. doi: 10.1111/j.1471-0528.1995.tb11403.x.
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The effect on fetal arteriolar oxygen saturation resulting from giving oxygen to the mother measured by pulse oximetry.通过脉搏血氧饱和度测定法给母亲吸氧对胎儿小动脉血氧饱和度的影响。
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Fetal oxygen saturation and uterine contractions during labor.分娩期间的胎儿血氧饱和度和子宫收缩
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Intrapartum fetal oxygen saturation monitoring in a busy labour ward.繁忙产科病房中的产时胎儿血氧饱和度监测
Eur J Obstet Gynecol Reprod Biol. 1999 Feb;82(2):185-9. doi: 10.1016/s0301-2115(98)00223-1.
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Head-to-cervix force: an important physiological variable in labour. 1. The temporal relation between head-to-cervix force and intrauterine pressure during labour.头-宫颈力:分娩中的一个重要生理变量。1. 分娩过程中头-宫颈力与宫内压之间的时间关系。
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Relation between frequency of uterine contractions and human fetal cerebral oxygen saturation studied during labour by near infrared spectroscopy.分娩期间通过近红外光谱研究子宫收缩频率与胎儿脑氧饱和度之间的关系。
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Multicenter study on the clinical value of fetal pulse oximetry. I. Methodologic evaluation. The French Study Group on Fetal Pulse Oximetry.胎儿脉搏血氧饱和度测定临床价值的多中心研究。I. 方法学评估。法国胎儿脉搏血氧饱和度测定研究组
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Fetal monitoring with pulse oximetry.
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