胎儿脉搏血氧测定对产科决策的理论影响。

Catherine Houba, Daniel Murillo, Patricia Barlow, Geraldine Debruyne, Serge Rozenberg
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引用次数: 0

摘要

目的:探讨胎儿血氧测定在“理论环境”下是否能降低干预率。研究设计:数据库包括93例因怀疑胎儿窘迫而使用胎儿血氧仪的病例。对象:每个病例制作两组产程图。其中一组包括有血液饱和度测定的相关数据,另一组包括没有血液饱和度测定的相关数据。干预:理论设置:3名产科医生,不知道产科结局的研究目的。每个病例都是在没有饱和度测定的情况下首次提出的;在二读中,其结果是可用的。结果:拔牙次数。专家之间的共识。统计学:描述性和配对非参数检验。结果:全球干预率较低(47%对52%;结论:在理论上,在可疑的心脏造影(CTG)中使用饱和度测量可能有助于降低侵入性手术的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of the fetal pulse oximetry on the obstetrical decision in the theoretical setting.

Objective: to assess whether fetal oxymetry reduces the intervention rate in a "theoretical setting".

Study design: Data bank including 93 cases where a fetal oxymetry had been used for suspicion of fetal distress. Subjects-Two sets of labor charts were constructed for each case. One included relevant data with the saturometry, the other included relevant data without the saturometry.

Intervention: Theoretical setting: 3 obstetricians, unaware of study aim of the obstetrical outcomes. Each case was presented first without the saturometry; in a second reading, its result was available.

Outcomes: Number of extractions. Consensus between experts.

Statistics: descriptive and paired non parametric tests.

Results: The global intervention rate was lower (47% versus 52%; p<0.05) and the consensus higher, using monitoring and saturometry than using monitoring only.

Conclusion: In a theoretical setting, the use of saturometry in suspicious cardiotocography (CTG) may help reduce the risk of invasive procedures.

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