CLINICAL FEATURES OF LONG CONTRACTION WAVE RECORDED BY AN EXTERNAL TOCODYNAMOMETER
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概要
- 論文の詳細を見る
外測陣痛計記録に見られる3分以上持続する子宮収縮波(LCW)の臨床的予後について検討した. 1,050例の妊婦の妊娠・分娩中の胎児心拍数陣痛記録を調査した結果, 50例にLCWが認められた. 全体的には, LCWは比較的高年齢の初産婦に多く観察され, 産科的合併症が多かったため帝切率(40%)も高かった. そこで産科的予後を検討するために, 各収縮波をピーク以後の弛緩期が長く持続するA型と不規則な複数の収縮が融合したB型に分類したが, それだけではとくに明らかな傾向は認められなかった. 次に出現頻度に関して, 1週間以内に1回しか認められなかった散発型と2回以上認められた頻発型に分類したところ, 経腔分娩と陣痛誘発・促進時のオキシトシン投与の関与が前者に有意に多く, 胎児仮死と低アプガー児が後者に有意に多かった. 以上の結果から, LCWの出現が散発型で回復が良好であれば産科的予後は正常範囲にあるが, 頻発型の児の予後は悪く, 注意深い観察の必要性が示唆された.
- 社団法人日本産科婦人科学会の論文
- 1990-06-01
著者
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Kawarabayashi Tatsuhiko
Department of Obstetrics and Gynecology, Faculty of Medicine, Fukuoka University
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SUGIMORI Hajime
Department of Obstetrics and Gynecology, Saga Medical School
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IKEDA Masahiko
Department of Internal Medicine and Therapeutics, Osaka University School of Medicine
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Sugimori Hajime
Department Of Obstetrics And Gynecology Saga Medical School
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HAMADA Seiji
Department of Electrical Engineering,Faculty of Engineering,Kyushu Institute of Technology
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Hamada Seiji
Department Of Electrical Engineering Faculty Of Engineering Kyushu Institute Of Technology
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Hamada Seiji
Department Of Obstetrics And Gynecology Saga Medical School
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KISHIKAWA Tadao
Department of Obstetrics and Gynecology, Hamanomachi Hospital
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SOU Hiroko
Department of Obstetrics and Gynecology, Saga Medical School
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SHINMOTO Masahiro
Department of Obstetrics and Gynecology, Saga Medical School
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Kawarabayashi Tatsuhiko
Department Of Obstetrics And Gymecology Fukuoka University School Of Medicine
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Ikeda Masahiko
Department Of Internal Medicine And Therapeutics Osaka University School Of Medicine
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Sou Hiroko
Department Of Obstetrics And Gynecology Saga Medical School
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Kishikawa Tadao
Department Of Obstetrics And Gynecology Hamanomachi Hospital
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Shinmoto Masahiro
Department Of Obstetrics And Gynecology Saga Medical School
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Ikeda Masahiko
Department Of Breast And Thyroid Surgery Kawasaki Medical School
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Ikeda Masahiko
Department Of Obstetrics And Gynecology Saga Medical School
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