在症状单身妇女中预测早产的四种测试的比较:前性队列研究
Maryam Najjarzadeh1, Sakineh Mohammad-Alizadeh-Charandabi2, Mohammad Asghari Jafarabadi3,4,5
1Department of Midwifery, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.
Journal of nursing measurement
|June 23, 2023
概括
预测早产是很困难的. 宫长度评估显示出良好的诊断性能,优于宫漏斗和心电图 (CTG) 测试,而主教得分提供了更高的特异性.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 诊断准确性研究 诊断准确性研究
背景情况:
- 准确预测早产仍然是一个重大的临床挑战.
- 预测早产的现有方法在诊断性能方面存在局限性.
研究的目的:
- 为了比较宫长度测量的诊断性能与心电图 (CTG) 对子宫收缩记录,宫漏斗和毕晓普得分预测早产的诊断性能.
- 评估这四种方法在识别高风险临近早产的妇女方面的有效性.
主要方法:
- 一项前性队列研究,涉及371名单独怀孕和威胁过早分娩的妇女.
- 通过阴道的超声波用于宫长度和道评估,心脏图谱 (CTG) 用于收缩监测,以及数字阴道检查以获得毕晓普得分.
- 对诊断性能指标的分析,包括灵敏度,特异性,正预测值和概率比率.
主要成果:
- 通过心电图 (CTG) 记录子宫收缩,显示出预测2天内出生的最高灵敏度.
- 毕晓普分数≥6显示出最高的特异性,积极的预测值和积极的概率比.
- 对于妊娠年龄而言,宫长度不足显示出高负预测值和最低负概率比.
结论:
- 宫长度评估为预测早产提供了良好的诊断和预后性能.
- 宫漏斗和CTG测试对于早产的预测价值很低.
- 与宫漏斗和CTG相比,Bishop得分显示出更高的诊断性能,但宫长度也显示出显著的实用性.
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