胎儿肺成熟度评估中的轻拍试验、摇晃试验和磷脂酰甘油
Tap test, shake test and phosphatidylglycerol in the assessment of fetal pulmonary maturity.
作者信息
Kucuk M
机构信息
Department of Obstetrics and Gynecology, Atatürk University Research Hospital, Erzurum, Turkey.
出版信息
Int J Gynaecol Obstet. 1998 Jan;60(1):9-14. doi: 10.1016/s0020-7292(97)00232-4.
OBJECTIVE
No single test of amniotic fluid has yet been found completely reliable, easily performed and universally applicable in the prediction of fetal pulmonary maturity.
SETTING
Department of obstetrics and gynecology of a university hospital.
METHOD
The tap test and shake test were compared to the phosphatidylglycerol (PG) on amniotic fluid samples in 180 fetuses.
RESULTS
We found that the tap test results were correlated to the absence or presence of the respiratory distress syndrome in the newborn. When the tap test was evaluated at 5 min, the sensitivity (80.00%), specificity (91.03%) and predictive value for maturity (94.96%) and immaturity (68.29%) were comparable to those of the PG, which has a sensitivity of 82.85%, specificity of 92.41% and predictive value for maturity of 95.71% and immaturity of 72.50%.
CONCLUSION
Our findings suggest that the tap test can be a valuable clinical procedure.
目的
尚未发现单一的羊水检测方法在预测胎儿肺成熟度方面完全可靠、易于操作且普遍适用。
地点
一所大学医院的妇产科。
方法
对180例胎儿羊水样本的轻弹试验和振荡试验与磷脂酰甘油（PG）进行比较。
结果
我们发现轻弹试验结果与新生儿呼吸窘迫综合征的有无相关。当在5分钟时评估轻弹试验时，其敏感性（80.00%）、特异性（91.03%）以及成熟度预测值（94.96%）和未成熟度预测值（68.29%）与PG相当，PG的敏感性为82.85%，特异性为92.41%，成熟度预测值为95.71%，未成熟度预测值为72.50%。
结论
我们的研究结果表明轻弹试验可能是一种有价值的临床检查方法。
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