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首页> 外文期刊>The journal of maternal-fetal & neonatal medicine >Foetal electrocardiograph (ST-analyser or STAN) for intrapartum foetal heart rate monitoring: a friend or a foe?
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Foetal electrocardiograph (ST-analyser or STAN) for intrapartum foetal heart rate monitoring: a friend or a foe?

机译：胎儿心电图（ST-Analyzer或Stan）用于胎儿心率监测：朋友或敌人？

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摘要

Cardiotocograph (CTG) is associated with a high false positive rate of up to 60% which may increase the risk of unnecessary intrapartum interventions (emergency caesarean sections or operative vaginal deliveries) without any significant benefits. A recent study on variation of caesarean section rates in England has concluded that there was a very wide variation even in the adjusted rates of caesarean section from 14.9% to 32.1%. Cochrane Systematic Reviews have concluded that the use of FBS does not reduce caesarean section rate or any pre-specified neonatal outcomes. Fetal ECG (ST-Analyser or STAN) has been used in the clinical practice for more than 20 years. Although, initial randomised controlled trials (RCTs) showed great promise regarding the role of STAN in reducing operative delivery rates (instrumental vaginal births and emergency caesarean sections) and neonatal metabolic acidosis, subsequent studies have questioned the role of STAN in clinical practice. A recent meta-analysis which included six randomised controlled trials (a total of 26,446 women) has concluded that there was a 36% reduction in the rate of neonatal metabolic acidosis. Practising clinicians currently face a dilemma as to whether STAN has a place in contemporary obstetric practice or whether it?s use should be discouraged and discontinued.
机译：心肌引擎表（CTG）与高达60％的高误率相关，可能会增加不必要的内部干预措施（紧急剖宫产或手术阴道递送）的风险，而没有任何显着效益。最近英格兰剖腹产率变化的研究得出结论认为，即使在14.9％至32.1％的调整后的剖腹产率下也存在非常宽的变化。 Cochrane系统评价得出结论，FBS的使用不会降低剖宫产率或任何预先指定的新生儿结果。胎儿ECG（ST-Analyzer或Stan）已在临床实践中使用了20多年。虽然初始随机对照试验（RCT）对STAN在减少手术交付率（工具阴道出生物和急诊剖面）和新生儿代谢酸中毒的作用表现出巨大的承诺，但随后的研究质疑斯坦在临床实践中的作用。最近包括六项随机对照试验（共26,446名妇女）的最近的荟萃分析得出结论是，新生儿代谢酸中毒的速率降低了36％。练习临床医生目前对当代产科实践中有一个地方的困境，或者是否应该泄露和停药。

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