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中华产科急救电子杂志 ›› 2015, Vol. 04 ›› Issue (03) : 175 -181. doi: 10.3877/cma.j.issn.2095-3259.2015.03.011

所属专题: 文献

论著

电子胎心监护图形的计算机分析与医生判读比较
刘平1, 梁轶珩1, 樊尚荣1,(), 李云1   
  1. 1. 518036 深圳,北京大学深圳医院妇产科
  • 收稿日期:2015-05-30 出版日期:2015-08-18
  • 通信作者: 樊尚荣

Comparison of computerized analysis and obstetrician analysis of cardiotocography

Ping Liu1, Yiheng Liang1, Shangrong Fan1,(), Yun Li1   

  1. 1. Department of Gnecology and Obstetrics, Peking University Shenzhen hospital, Shenzhen 518036, China
  • Received:2015-05-30 Published:2015-08-18
  • Corresponding author: Shangrong Fan
  • About author:
    Corresponding author: Fan Shangrong, Email:
引用本文:

刘平, 梁轶珩, 樊尚荣, 李云. 电子胎心监护图形的计算机分析与医生判读比较[J]. 中华产科急救电子杂志, 2015, 04(03): 175-181.

Ping Liu, Yiheng Liang, Shangrong Fan, Yun Li. Comparison of computerized analysis and obstetrician analysis of cardiotocography[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2015, 04(03): 175-181.

目的

比较计算机和产科医生对电子胎心监护分析的结果,探讨计算机分析胎心监护描记图用于临床的可行性。

方法

由两位产科专家对2012年1月1日至2014年10月24日在北京大学深圳医院妇产科产房产时的1 885例产妇的胎心监护记录图形进行复习和判读对比,计算机分析结果和产科医生分析结果。

结果

所有病例中Ⅰ型正常图形1 409例,Ⅱ型可疑图形476例,未发现Ⅲ型异常图形。以两位产科专家分析结果为金标准,计算机分析和医生判读在胎心基线、基线变异、加速和减速的一致率分别为93.36%(1 760/1 885例),92.36%(1 742/1 885例),78.67%(1 483/1 885例)和70.45%(1 328/1 885例)。计算机分析的敏感度和特异度分别为86.50%和58.48%。

结论

计算机分析产时胎心监护与医生判读有较高的一致性,在临床工作上有一定的可行性。

Objective

To evaluate the feasibility of computer analysis of cardiotocography in clinic by comparing the computerized analysis and obstetrician analysis.

Methods

This study collected the intrapartum cardiotocography of 1 885 pregnant patients, who were admitted to delivery room at Peking University Shenzhen Hospital from January 1, 2012 to October 24, 2014. The cardiotocography were rechecked by two obstetrical experts to compare the results of computerized analysis and obstetrician analysis.

Results

In all patients, there were 1 409 cases with type I cardiotocography, 476 cases with type II, and no one with type III. Taking the cardiotocography analysis of obstetrical experts as the golden standard, the concordance rate of fetal heart rate baseline, baseline variation, acceleration and deceleration of computer analysis and obstetrician analysis were 93.36% (1 760/1 885 cases), 92.36%(1 742/1 885 cases), 78.67%(1 483/1 885 cases) and 70.45% (1 328/1 885 cases), respectively. The sensitivity rate and specificity rate of computer analysis were 86.50% (391/452 cases) and 58.48% (817/1 397 cases).

Conclusion

Intrapartum computerized cardiotocography analysis has a high concordance rate with obstetrician analysis, which is feasible to use in clinical work.

表1 1 885例CTG图的计算机分析与医生判读的一致率分析
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