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用于宫内压力测量的新型导管系统的评估

Evaluation of new catheter systems for intrauterine pressure measurement.

作者信息

Chia Y T, Arulkumaran S, Yang M, Ratnam S S

机构信息

Department of Obstetrics and Gynaecology, National University Hospital, Singapore.

出版信息

J Perinat Med. 1995;23(6):437-41. doi: 10.1515/jpme.1995.23.6.437.

Abstract

To verify the reliability of intrauterine pressure recordings by a newly available intrauterine catheter. In five women in labor the tips of the two newly available catheters (Hewlett Packard HP 13975 A) were tied together and placed in the same amniotic fluid pocket. In three other women the tip of the new catheter (HP) and tip of an established catheter system (Intran II) were tied and placed in the uterine cavity above the fetal head. The difference in active pressure recorded by the two catheters for each contraction in all 8 women was calculated. The total active pressure recorded for each patient for the whole labor by the two catheter was calculated. The active pressure difference for individual contractions was less than 5 mm Hg in 95% of contractions (n = 222) with the two new catheters (HP versus HP) and 99% when the new catheter was compared with the established catheter system (HP versus Intran II) (n = 222). The total active pressure in each labor differed by 0.4% to 5.4% (n = 5) and 1.4% to 4.1% (n = 3) respectively when similar (new HP versus new HP) and different catheter systems (new HP versus established Intran II) were used. The new transducer tip catheter gives reliable pressure readings in-vivo. (n = 3) respectively when similar (new HP versus new HP) and different catheter systems (new HP versus established Intran II) were used. The new transducer tip catheter gives reliable pressure readings in-vivo.

摘要

验证一种新的宫内导管记录宫内压力的可靠性。在5名临产妇女中,将两根新导管(惠普HP 13975 A)的尖端绑在一起,置于同一个羊水囊内。在另外3名妇女中,将新导管(HP)的尖端与一种已有的导管系统(Intran II)的尖端绑在一起,置于胎儿头部上方的子宫腔内。计算了所有8名妇女每次宫缩时两根导管记录的主动压力差异。计算了两名导管记录的每名患者整个产程的总主动压力。两根新导管(HP对HP)记录的95%的宫缩(n = 222)以及新导管与已有的导管系统相比(HP对Intran II)记录的99%的宫缩(n = 222),个体宫缩的主动压力差异小于5 mmHg。当使用相似(新HP对新HP)和不同的导管系统(新HP对已有的Intran II)时,每次产程的总主动压力差异分别为0.4%至5.4%(n = 5)和1.4%至4.1%(n = 3)。新型换能器尖端导管在体内能给出可靠的压力读数。(n = 3)分别为使用相似(新HP对新HP)和不同的导管系统(新HP对已有的Intran II)时的情况。新型换能器尖端导管在体内能给出可靠的压力读数。

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