出産中の胎児のモニタリングのためのパルスオキシメトリーの適応
J O Gardosi1, C M Schram, E M Symonds
1Department of Obstetrics and Gynaecology, Queen's Medical Centre, Nottingham, UK.
Lancet (London, England)
|May 25, 1991
まとめ
胎児のモニタリングのためのパルスオキシメトリーは,胎児の頭皮の平均酸素飽和度が82%であることを示しています. しかし,人工物は読み取りを妨げることができ,低飽和度は胎児の苦痛を示す可能性があります.
科学分野:
- 産婦人科と産婦人科を担当しています.
- 胎児生理学 胎児生理学
- 医療器具・医療機器について
背景:
- 産後モニタリングは胎児の健康にとって極めて重要です.
- パルスオキシメトリーは,胎児の酸素量を評価するための潜在的な方法を提供します.
- 胎児の酸素レベルを推論する以前の方法は,限界があります.
研究 の 目的:
- 産後胎児のモニタリングのためのパルスオキシメトリーの適用の実現可能性と発見を調査する.
- この文脈でパルス酸素測定値に影響を与える人工物の源を特定する.
- 胎児の分娩中の動脈酸素飽和度に関する基準値を定める.
主な方法:
- パルスオキシメトリーは,出産中の105人の女性に適用されました.
- データ分析は,適切な測定値を取得し,人工物の源を特定することに焦点を当てました.
- 胎児の頭皮の動脈酸素飽和度が測定され,分析されました.
主要な成果:
- 105例のうち61例 (58%) で適切なパルスオキシメトリー測定値が得られた.
- 探査機の配置と信号処理に関連する主要な人工物が特定され,除外されました.
- 胎児の頭皮の平均動脈酸素飽和度は82% (SD 6%) でした.
結論:
- パルスオキシメトリーは,出産中に胎児の酸素飽和度を直接測定することができます.
- 探査機の位置と信号処理に関連する人工物は,慎重に管理する必要があります.
- 胎児の酸素飽和度が60%未満または不安定なベースラインは,胎児の有意な低酸素症および酸化症を意味する可能性があります.
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