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首页> 外文期刊>BJOG: an international journal of obstetrics and gynaecology >Sensitivity and specificity of intrapartum computerised FIGO criteria for cardiotocography and fetal scalp pH during labour: multicentre, observational study.
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Sensitivity and specificity of intrapartum computerised FIGO criteria for cardiotocography and fetal scalp pH during labour: multicentre, observational study.

机译：分娩期间计算机生成的FIGO对心动描记法和胎儿头皮pH值的敏感性和特异性：多中心，观察性研究。

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摘要

OBJECTIVE: To identify sensitivity and specificity of computerised cardiotocography (CTG) analysis for fetal acidosis during delivery. DESIGN: Retrospective observational study. SETTING: Tertiary referral labour ward, Technical University Munchen (TUM) and University Witten/Herdecke (UWH). POPULATION: All deliveries, which had at least one fetal scalp pH measurement and electronically saved CTG traces, between 2000 and 2002 (TUM) and between 2004 and 2005 (UWH). METHOD: Correlation analysis of fetal scalp pH values and computerised International Federation of Obstetrics and Gynecology (FIGO) classification using 'CTG Online' program of digitally saved CTG traces. MAIN OUTCOME MEASURES: Fetal scalp pH values, FIGO parameter (baseline, variability, acceleration and deceleration) using computerised analysis. RESULTS: Both collectives showed a high sensitivity (95.0%) for computerised FIGO classification 'suspect' and 'pathological', together with a low specificity (21.8%) for fetal acidosis. The most sensitive single FIGO parameter was deceleration. Very low sensitivity (<50%) was shown for the parameters variability and acceleration. CONCLUSIONS: Computerised CTG analysis is highly sensitive for fetal acidosis and can be used as an objective adjunctive criterion during delivery. Further CTG data are needed to adjust and optimise each FIGO parameter and increase sensitivity and specificity.
机译：目的：确定分娩期间胎儿酸中毒的计算机心动图（CTG）分析的敏感性和特异性。设计：回顾性观察研究。地点：第三转诊病房，慕尼黑工业大学（TUM）和维滕/赫德克大学（UWH）。人口：2000年至2002年（TUM）和2004年至2005年（UWH）之间的所有分娩，至少具有一次胎儿头皮pH测量并以电子方式保存了CTG痕迹。方法：使用数字保存的CTG痕迹的“ CTG在线”程序对胎儿头皮的pH值与计算机化的国际妇产科联合会（FIGO）分类进行相关性分析。主要观察指标：胎头pH值，FIGO参数（基线，变异性，加速和减速）采用计算机分析。结果：两组均对计算机化FIGO分类“可疑”和“病理学”显示出较高的敏感性（95.0％），对胎儿酸中毒的特异性较低（21.8％）。最敏感的单个FIGO参数是减速度。对于参数的可变性和加速度，显示出非常低的灵敏度（<50％）。结论：CTG计算机分析对胎儿酸中毒高度敏感，可作为分娩时的客观辅助标准。需要更多的CTG数据来调整和优化每个FIGO参数，并提高灵敏度和特异性。

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