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产时胎心监护新进展解读 被引量：7

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摘要 电子胎心监护（EFM）是目前了解胎儿宫内情况和胎儿储备能力的重要方法。利用胎心监护曲线不仅可了解胎儿心血管系统的机能状态，还可以判断胎儿中枢神经系统的活动情况，为临床判断围产儿预后及指导治疗提供重要依据。但大量研究显示，EFM虽然对预测胎儿宫内状况有较好的敏感性，但其特异性较差，尤其是较高的假阳性率增加了许多不必要的产时干预，使剖宫产率大幅度提高。
作者 陈练 赵扬玉
机构地区 北京大学第三医院
出处 《山东医药》 CAS 北大核心 2011年第44期1-3,共3页 Shandong Medical Journal
基金 卫生部临床重点项目
关键词 胎心监护 胎儿
分类号 R715.7 [医药卫生—妇产科学]
  • 相关文献

参考文献10

  • 1American College of Obstetricians and Gynecologists. ACOG Practice Bullet in No. 106: Intrapartum fetal heart rate monitoring: Nomen- clature, interpretation, and general management principles [ J]. Ob- stet Gynecol, 2009,114 ( 1 ) : 192-202.
  • 2Parer JT, Ikeda T. A framework for standardized management of in- trapartum fetal heart rate patterns [ J]. Am J Obstet Gynecol, 2007, 197( 1 ) :26. el-6.
  • 3Bailey RE. Intrapartum fetal monitoring [J]. Am Fam Physician, 2009,80(12) : 1388-1396,.
  • 4Parer JT, Ikeda T, King TL. The 2008 National institute of Child Health and Human Development report on fetal heart rate monitoring [J]. Obstet Gynecol, 2009,114(1) :136-138.
  • 5Roemer VM, Walden R. Sensitivity, specificity, receiver-operating characteristic ( ROC ) curves and likelihood ratios for electronic foetal heart rate monitoring using new evaluation techniques [ J ]. Z Ge-burtshilfe Neonatol, 2010,214 ( 3 ) : 108-118.
  • 6Roemer VM. How to define a non-reassuring FHR tracing online [ J ]. Z Geburtshilfe Neonatol, 2010,214 (4) : 151-160.
  • 7East CE, Brenneeke SP, King JF, et al. The effect of intrapartum fetal pulse oximetry, in the presence of a nonreassuring fetal heart rate pattern, on operative delivery rates: A multicenter, randomized, controlled trial (the FOREMOST trial) [ J]. Am J Obstet Gynecol, 2006,194 ( 3 ) :606. el -16.
  • 8Klauser CK, Christensen EE, Chauhan SP, et al. Use of fetal pulse oximetry among high-risk women in labor: a randomized clinical trial [ J ]. Am J Obstet Gynecol, 2005,192 ( 6 ) : 1807-1810 ; discussion 1817-1819.
  • 9Amer-Whhlin I, Hellsten C, Nor6n H, et al. Cardiotocography only versus cardiotocography plus ST analysis of fetal electrocardiogram for intrapartum fetal monitoring: a Swedish randomised controlled trial [J]. Lancet, 2001,358(9281 ) :534-538.
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同被引文献68

  • 1邓瀚.妊娠期高血压危险因素及其对妊娠结局的影响[J].宁夏医科大学学报,2013,35(8):931-933. 被引量：39
  • 2JamesDK.高危妊娠[M].段涛,杨慧霞,译.北京:人民卫生出版社,2008:1297-1301.
  • 3American College of Obstetricians and Gynaecologists. Intrapartum fetal heart rate monitoring : nomenclature, interpretation, and general management principles. ACOG Practice Bulletin [ J ]. Obstet Gyneco1,2009,114 ( 1 ) : 192 - 202.
  • 4Ayres-de-Campos D, Ugwumadu A, Banfield P, et al. A randomised clinical trial of intrapartum fetal monitoring with computer analysis and alerts versus previously available monitoring [ J ]. BMC Pregnancy Childbirth, 2010, 10 ( 16 ) : 71 -75.
  • 5Committee on Obstetric Practice and American Academy of Pediatrics: Committee on Fetus and Newborn, American College of Obstetricians and Gynecologists. ACOG committee opinion: Use and abuse of the Apgar score [J ]. Int J Gynaecol Obstet, 1996,54 ( 3 ) :303 - 305.
  • 6Borruto F, Comparetto C, Wegher E, et al. Screening of foetal distress by assessment of umbilical cord lactate [ J ]. Clin Exp Obstet Gvneco1.2006.33 (4) :219 - 222.
  • 7田巧花.羊水污染、胎心监护与新生儿窒息的关系[J].现代妇产科进展,2007,16(9):709-710. 被引量：6
  • 8Electronic fetal heart rate monitoring: research guidelines for interpretation. National institute of child health and human development research planning workshop. Am J Obstet Gynecol, 1997, 77: 1385-1390.
  • 9Bailey RE. Intrapartum fetal monitoring. Am.Fam physician, 2009 80: 1388-1396.
  • 10Parer JT, Ikeda T. A Framework for standardized managementof intrapartum fetal heart rate patterns. Am J Obstet Gynecol, 2007, 197: 26.

引证文献7

二级引证文献68

山东医药
2011年 第44期

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