H Valensise, V Bezzeccheri, A L Tranquilli, G G Garzetti, C Romanini
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引用次数: 0
摘要
计算机化ctg参数的转诊曲线的构建可以提高对不良解释示图检查的临床疗效。在“System 8000”软件的帮助下,分析了12例低危患者在妊娠24-26周至足月期间每两周随访一次的计算机参数子宫颈移动/小时、高变异性和低变异性子宫颈移动、加速度、高变异性和低变异性周期长度、短变异性平均范围和值的纵向变化。而加速度、低变异性和高变异性的分钟数在怀孕期间没有显著的变化(F = 1.78;F = 9.3, F = 4.5, P = ns),其他参数有显著差异(P < 0.001)。运动次数/h和高变异性运动次数从24-26周增加到32-34周,并进一步逐渐减少到足月;低变异性的运动在妊娠32-34周后消失;平均幅度和短期变异性增加到34周,并保持稳定直到结束。因此,所获得的结果用于进行计算机ctg登记的高风险胎儿:尽管如此,纵向评估显示胎儿中枢神经控制在妊娠34-36周后对心率和胎儿运动的成熟,如行为状态评估所示。
[Computerized cardiotocographic assessment with the "8000 System". I. Construction of normal curves].
The construction of referral curves for the computerized ctg parameters may increase the clinical efficacy of the examinations in tracings of unfavourable interpretation. With the help of "System 8000" software, the longitudinal variation of computerized parameters fetal movements/hour, fetal movements in high and low variability, accelerations, length of high and low variability periods, mean range and value of short variability have been analyzed in a group of 12 low risk patients followed biweekly from the 24-26th week of gestation through term. While accelerations, minutes of low and high variability showed an absence of significative variation during pregnancy (F = 1.78; F = 9.3, F = 4.5 P = n.s.), significant (p less than 0.001) variation showed the other parameters. Number of movements/h and movements in high variability had an increase from 24-26 weeks to 32-34 weeks and a progressive further decrease till term; movements in low variability disappear after 32-34 weeks of gestation; mean range and short variability increase until 34 weeks and remained stable till end. Therefore the results obtained are in use for the high risk fetuses that perform a computerized ctg registration: nevertheless, the longitudinal evaluation reveals the maturation of fetal central nervous control on heart rate and fetal movements after the 34-36th weeks of gestation as a shown from behavioural states evaluation.