STUDY OF VARIABLE DECELERATIONS IN ASSOCIATION WITH OTHER HEART-RATE PATTERNS DURING MONITORED LABOR
STUDY OF VARIABLE DECELERATIONS IN ASSOCIATION WITH OTHER HEART-RATE PATTERNS DURING MONITORED LABOR
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DOI：
10.1016/0002-9378(79)90705-1
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发表时间：
1979-01-01
影响因子：
9.8
通讯作者：
GAZIANO, EP
中科院分区：
文献类型：
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作者：
GAZIANO, EP
对 1011 次连续产时心率追踪的审查得出 37.3% 具有某种程度的可变减速模式。与那些标记为正常的描记相比，在存在不复杂的可变减速模式的情况下，没有观察到阿普加分数分布的差异。与其他心率模式相关的可变减速的存在导致 1 分钟和 5 分钟的平均 Apgar 评分较低，这与胎心率 (FHR) 正常组显着不同。当在心动过速和变异性丧失的情况下注意到可变减速时，第 1 和第 5 分钟的平均 Apgar 评分与正常值显着不同。与正常相比，当记录中存在心动过缓（心率<120次/分钟的长时间发作）时，平均阿普加分数较低，但心动过缓的可变减速的存在不会导致平均分数差异。基线变化的存在以及可变性和可变减速的损失似乎导致了最低的平均分数。当心动过缓或心动过速与可变减速完全相关时，新生儿抑郁的比例相对较高。
A review of 1011 consecutive intrapartum heart rate tracings yielded 37.3% with some degree of variable deceleration pattern. No differences in Apgar score distribution were observed in the presence of uncomplicated variable decelerations pattern when compared to those tracings marked normal. The presence of variable decelerations in association with other heart rate patterns resulted in lower mean Apgar scores at 1 and 5 min, which were significantly different from the fetal heart rate (FHR) normal group. Mean Apgar scores at 1 and 5 nin were significantly different from normal when variable decelerations were noted in the presence of tachycardia and loss of variability. Mean Apgar scores were lower when bradycardia (prolonged episodes of heart rate < 120 beats per minute) was present in the record when compared to normal, but the presence of variable decelerations with bradycardia did not result in difference mean scores. The presence of baseline changes with loss of variability and variable decelerations appeared to result in the lowest mean scores. When bradycardia or tachycardia occurred in exclusive association with variable decelerations, the percentage of depressed newborn infants was relatively high.