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Electrohysterogram Signals from Patients with Threatened Preterm Labor: Concentric Ring Electrode Vs Disk Electrode Recordings

机译:来自受威胁的早产患者的电力照片信号:同心环电极VS磁盘电极记录

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Recording of electrohysterogram (EHG) has emerged as a non-invasive method for monitoring uterine dynamics during pregnancy. Usually EHG is picked up using conventional disk electrodes placed on the abdominal surface resulting in a limited spatial resolution due to the blurring effect of the volume conductor. In this respect, concentric ring electrodes have been proposed to pick up uterine myoelectrical activity in term patients so as to improve spatial resolution and to reduce physiological interferences embedded in these records. The aim of the present work is to check the feasibility of recording EHG signals using concentric ring electrodes (BC-EHG) in patients with threatened preterm labor and to compare their capability to discriminate true preterm labor from false alarms with that of conventional EHG bipolar recording. For this purpose, 50 sessions with simultaneous EHG recordings with conventional disk electrodes and concentric ring electrodes were conducted in 26 patients. Compared to conventional bipolar EHG recording, the BC-EHG presents smaller amplitude and similar spectral characteristics. Statistically significant differences between women who delivered preterm and those that delivered at term were found for both the average peak-peak amplitude and the dominant frequency in the frequency range 0.2-1 Hz from BC-EHG recordings. Nonetheless no EHG parameter from simultaneous conventional bipolar recording showed statistically significant differences. These results suggest superior performance of BC-EHG recordings in patients with threatened preterm labor for discriminating true preterm labor from term labor.
机译:电子台阶记录(EHG)被出现为怀孕期间监测子宫动力学的非侵入性方法。通常使用放置在腹部表面上的传统盘电极拾取EHG,导致由于体积导体的模糊效果导致有限的空间分辨率。在这方面,已经提出了同心环电极以在患者中拾取子宫肌电活性,以提高空间分辨率,并降低嵌入这些记录中的生理干扰。本作本作的目的是检查使用受威胁早产劳动力的患者中使用同心环电极(BC-EHG)记录EHG信号的可行性,并比较它们从具有传统EHG双极记录的误报区分真正的早产的能力。为此目的,在26名患者中进行了50个具有传统磁盘电极和同心环电极的同时的EHG录像。与传统的双极EHG记录相比,BC-EHG呈较小的幅度和相似的光谱特性。递送早产的妇女的统计学差异和在来自BC-EHG录音的频率范围为0.2-1Hz的平均峰值峰值幅度和主导频率的统计学意义。尽管如此,来自同时传统双极记录的EHG参数显示出统计上显着的差异。这些结果表明,BC-EHG记录在威胁早产的患者中的卓越性能,以区分真正的劳动力劳动力。

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