羊水量作为宫内生长受限胎儿窘迫的预测指标。
Amniotic fluid volume as a predictor of fetal distress in intrauterine growth retardation.
作者信息
Tongsong T, Srisomboon J
机构信息
Division of Maternal-Fetal Medicine, Faculty of Medicine, Chiang Mai University, Thailand.
出版信息
Int J Gynaecol Obstet. 1993 Feb;40(2):131-4. doi: 10.1016/0020-7292(93)90372-4.
OBJECTIVE
To determine the efficacy of sonographic assessment of amniotic fluid volume (AFV) in predicting intrapartum fetal distress in pregnancies with intrauterine growth retardation (IUGR) compared with the nonstress test (NST).
METHOD
A prospective study of 242 pregnancies with IUGR who underwent antepartum assessment of AFV and NST with intrapartum continuous FHR monitoring was conducted and analyzed.
RESULT
AFV was a reliable predictor of intrapartum fetal distress with sensitivity, specificity, positive and negative predictive values of 84.0%, 83.41%, 36.84% and 97.84%, respectively. The efficacy of AFV was comparable with that of the NST.
CONCLUSION
Sonographic assessment of AFV is an effective predictor of intrapartum fetal distress in pregnancies with IUGR.
目的
与无应激试验（NST）相比，确定超声评估羊水体积（AFV）对预测宫内生长受限（IUGR）妊娠分娩期胎儿窘迫的有效性。
方法
对242例IUGR妊娠进行前瞻性研究，这些孕妇在产前接受了AFV评估和NST，并在分娩期进行了连续胎心监护，随后进行分析。
结果
AFV是分娩期胎儿窘迫的可靠预测指标，其敏感性、特异性、阳性预测值和阴性预测值分别为84.0%、83.41%、36.84%和97.84%。AFV的有效性与NST相当。
结论
超声评估AFV是IUGR妊娠分娩期胎儿窘迫的有效预测指标。
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