Detailed multigrade evaluation of fetal disorders with the quantified actocardiogram
Detailed multigrade evaluation of fetal disorders with the quantified actocardiogram
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DOI：
10.1515/jpm.2009.056
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发表时间：
2009-07-01
影响因子：
2.4
通讯作者：
Fuchiwaki, Taisuke
中科院分区：
文献类型：
--
作者：
Maeda, Kazuo;Iwabe, Tomio;Fuchiwaki, Taisuke
目的：目的：应用超声多普勒（Doppler）同步描记的心动图（actocardiogram，ACG）定量分析胎儿运动爆发波和胎心率（fetalheart rate，FHR），评价胎儿疾病。使用FHR加速度持续时间与运动爆发比（A/B比）和从A/B比得出的10-0临床严重程度等级估计胎儿疾病的严重程度。结果：A/B比值与1 min、5 min Apgar评分及远期预后均显著相关，A/B比值与1 min、5 min Apgar评分及远期预后均显著相关。使用A/B比值更容易理解有争议的胎心率模式病例。从A/B比率得出的10-0严重程度在临床胎儿Study.Conclusion中是有用的：使用心动图的A/B比率比使用常见的二元好或坏评价时更详细地定量评价常见的胎儿疾病。A/B比值可用于结局估计，其中A/B比值的预后能力通过与1 min和5 min Apgar评分和胎儿疾病的长期结局的显著相关性得到证实。
Aims: To evaluate fetal disorders using detailed quantitative values from the actocardiogram (ACG) involving simultaneous tracing of ultrasonic Doppler fetal movement bursts and fetal heart rate (FHR).Methods: Duration of FHR accelerations and fetal movement bursts were measured manually in 20 common fetal disorders. The severity of the fetal disorder was estimated using the FHR acceleration duration to movement burst ratio (A/B ratio) and 10-0 clinical severity ranks derived from the A/B ratio. The correlation of the A/B ratio and 1 and 5 min Apgar scores, as well as numerically expressed long-term outcomes were studied.Results: A/B ratios were significantly correlated with the 1 and 5 min Apgar scores and the numerically evaluated long-term outcomes. Controversial cases of FHR pattern were more easily understood using the A/B ratio. The 10-0 severity derived from the A/B ratio was useful in clinical fetal studies.Conclusion: Common fetal disorders were evaluated quantitatively and in more detail using the A/B ratio from the actocardiogram than when using common binary good or bad evaluation. The A/B ratio was useful in outcome estimation, where the prognostic capability of the A/B ratio was confirmed by significant correlation with 1 and 5 min Apgar scores and long-term outcomes of fetal disorders.