臨床婦人科産科70巻7号

2016年07月発行

今月の臨床 胎児心拍数モニタリング　パーフェクトマスター

胎児心拍数波形の読み方と対応

基線細変動発生の仕組みと異常の評価

著者： 池ノ上克¹

所属機関： ¹宮崎大学医学部産婦人科

ページ範囲：P.594 - P.599

文献概要

●基線細変動の変化は中枢の状態を表している．その消失は児の状態がきわめて悪い可能性を示すが，増加にも注目が集まっている．

参考文献

1）Saling E : Foetal and Neonatal Hypoxia in relation to Clinical Obstetric Practice. Williams and Wilkins Co., Baltimore, 1968

2）Benson RC, et al : Fetal Heart Rate as Prediction of Fetal Distress. A report from Collaborative Project. Obstetrics and Gynecology 32 : 259─266, 1963

3）Hon EH, et al : Instrumentation of fetal electrocardiography. Science 125 : 553, 1957

4）Hon EH : An Atlas of Fetal Heart Rate Patterns. Harty Press Inc., New Haven Conn, 1968

5）Rushmer RF : Cardiovascular Dynamics. WS Saunders, Philadelphia, 1970

6）Paul RH, et al : Clinical Fetal Monitoring VII, The evaluation and significance of intrapartum baseline FHR variability. Am J Obstet Gynecol 125 : 206─210, 1975

7）Kubli FW, et al : Observation on Heart Rate and pH in the Human Fetus during Labor. Am J Obstet Gynecol 104 : 1190─1206, 1969

8）Yeh SY, et al : Quantification of Fetal Heart Beat to Beat Interval Difference. Obstet Gynecol 41 : 355─363, 1973

9）Ikenoue T, et al : Effect of Acute Hypoxemia and Respiratory Acidosis on the Fetal Heart Rate in Monkeys. Am J Obstet Gynecol 141 : 797─806, 1981

10）Martin CB, et al : Mechanism of late deceletions in fetal heart rate. A study with autonomic blocking agents in fetal lambs. Eur J Obstet Gynec Reprod Biol 9 : 361─373, 1979

11）Sameshima H, et al : Predictive Value of Late Deceleration for Fetal Acidemia in Unselective Low Risk Pregnancies. Am J Perinatol 22 : 19─23, 2005

12）Siira S, et al : Do Spectral Band of Fetal Heart Rate Variability Associate with Concomitant Fetal Scalp pH? Early Human Development 89 : 739─742, 2013

13）Kurahashi H, et al : Increased Fetal Heart Rate Variability in Periventricular Leukomalacia. Brain and Development 38 : 196─203, 2016

14）Russell NE, et al : Heart Rate Variability in Neonates of Type 1 Diabetic Pregnancy. Early Human Development 92 : 51─55, 2016

15）Furukawa S, et al : Acetylcholine Receptor Agonisit Reduces Brain Damage Induced by Hypoxia-Ischemia in Newborn Rats. Reproductive Sciences 18 : 172─179, 2011

16）Tracey KJ, et al : Physiology and immunology of the cholinergic antiinflammatory pathway. J Clinical Invest 117 : 289─296, 2007