宫内胎儿状态的监测问题的历史。心音图的新可能性

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
E. S. Repina, Y. V. Kosteley, A. Sh. Bureev, S. Yu. Yuriev, I. A. Petrov, O. A. Tikhonovskaya, G. A. Mikheenko
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引用次数: 0

摘要

降低围产期死亡率是现代产科亟待解决的问题之一。不幸的是,目前由妇产科医生使用的监测胎儿宫内状态的方法(心脏造影、多普勒测速仪)并不能保证胎儿近期的健康,而且出于安全考虑,检测的数量有限。因此,人们一直在寻找获取胎儿宫内状态信息的替代方法(心音图、心电图)。利用信息技术和数学数据分析大大扩大了心音图的潜力,包括实施胎儿健康状态的远程监测。托木斯克公司diagnostics + LCC开发了软件和硬件设备FetalCare,旨在基于胎儿心血管系统的音频数据对胎儿的宫内状态进行24小时监测。心音图获得的心间期图(CIG)可以根据标准的评估标准来估计胎儿的状态:基础心率、心率变异性、加速和减速、短期变化(STV)和长期变化(LTV)。该装置是非侵入性的,相对便宜,便携,对母亲和胎儿都是安全的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Monitoring of the intrauterine state of the fetus. Question history. New possibilities of phonocardiography
The problem of decreasing perinatal mortality is one of the pressing problems in modern obstetrics. Unfortunately, current methods of monitoring the intrauterine state of the fetus that are at the disposal of an obstetrician – gynecologist (сardiotocography, Doppler velocimetry) do not guarantee fetal wellbeing in the near-term outlook, and the number of tests is limited due to safety concerns. Consequently, there is ongoing search for alternative methods of obtaining information about the intrauterine state of the fetus (phonocardiography, electrocardiography). Using IT and mathematical data analysis has considerably enlarged the phonocardiography potential, including implementation of remote monitoring of the fetal health state. A Tomsk-based company Diagnostika + LCC developed software and hardware appliance FetalCare aimed at 24-hour monitoring of the intrauterine state of the fetus based on audio data on the fetal cardiovascular system. Cardiointervalograms (CIG) obtained by phonocardiography allow to estimate the state of the fetus based on standard assessment criteria: basal heart rate, heart rate variability, presence of accelerations and decelerations, short-term variation (STV), and long-term variation (LTV). The developed appliance is non-invasive, relatively cheap, portable, and safe both for the mother and the fetus.
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来源期刊
Byulleten Sibirskoy Meditsiny
Byulleten Sibirskoy Meditsiny MEDICINE, GENERAL & INTERNAL-
CiteScore
0.70
自引率
50.00%
发文量
102
审稿时长
8 weeks
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