应用新型缺氧指数预防和治疗产时损伤所致脑瘫

K. Maeda
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摘要

脑瘫是胎儿监测中的一大难题。新型缺氧指数=胎儿监测中所有胎心率减速持续时间(min)之和,除以最低胎心率(bpm),再乘以100。6例脑瘫患者缺氧指数均在25及以上,16例正常非脑瘫患者缺氧指数均在24及以下。因此,如果出生时缺氧指数小于等于24,新生儿缺氧指数大于等于25的新生儿可在新生儿期进行早期脑瘫治疗,可预防脑瘫。由于缺氧指数的计算公式不包含时滞,因此对所有减速模式和持续性心动过缓均采用缺氧指数,传统的主观早、晚、可变的减速模式分类将在胎儿监护中转变为数字缺氧指数。
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Prevention and treatment of cerebral palsy caused by intrapartum damage with novel hypoxia index
Cerebral palsy is a big problem in fetal monitoring. Novel hypoxia index=the sum of all fetal heart rate deceleration durations (min) in fetal monitoring, which is divided by the lowest fetal heart rate (bpm), and multiplied by 100. The hypoxia index of all 6 cerebral palsy cases was 25 or more, while the index of all 16 normal non cerebral palsy cases was 24 or less. Thus, cerebral palsy is prevented, if hyoxia index is 24 or less in the birth, and the newborn babies whose hypoxia index was 25 or more can be treated by early cerebral palsy therapy in neonatal stage. As the hypoxia index is adopted to all of deceleration patterns and continuous bradycardia because its calculation equation did not include lag-time, traditional but subjective early, late and variable deceleration pattern classification will change to numeric hypoxia index in fetal monitoring.
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