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Correlation between the foetal acid-base status and the Apgar score

机译:胎儿酸碱状态与Apgar评分之间的相关性

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摘要

The foetal pH values of eighty-eight cases delivered within 30 min after foetal blood sampling were correlated with the 1-min Apgar score. With a pH of 7·20 or above the error of prediction was 1·3%. The error in cases with pH below 7·20 was 54·5%.Significantly higher pH and lower δ base deficit were present in the low foetal pH group in vigorous, as opposed to depressed infants, suggesting that infusion acidosis was present in infants with a high Apgar score.The degree of correlation between the foetal pH and the Apgar score was not significantly influenced by shortening the sampling-delivery interval to 15 min or lengthening it to 3 hr. The most significant factor affecting the degree of correlation in the present study was the setting of the critical pH. If the criterion of the critical pH was taken as 7·13 there would have been no false positive results and the error of prediction in cases delivered within 30 min of foetal blood sampling would be reduced to 1·1%.
机译:胎儿血液采样后30分钟内分娩的88例胎儿的pH值与1分钟Apgar评分相关。当pH为7·20或更高时,预测误差为1·3%。 pH值低于7·20的情况下的误差为54·5%。与沮丧的婴儿相比,有力的低胎儿pH组的pH值明显较高,而δ碱基缺陷率较低,这表明低pH婴儿存在输液性酸中毒​​。缩短采样发送间隔至15分钟或将采样传递间隔延长至3小时,对胎儿pH和Apgar评分之间的相关程度没有显着影响。在本研究中,影响相关程度的最重要因素是临界pH的设置。如果将临界pH值的标准设为7·13,则不会有假阳性结果,并且在胎儿血样30分钟内分娩的情况下的预测误差将降低至1·1%。

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