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关于糖尿病患者孕期胎儿最理想的监护方法有许多争论。本文目的是通过新生儿某些详细变化而不单用围产儿死亡率来比较非应激试验(NST)和催产素激惹试验(OCT)的预测价值。作者前瞻性研究了分娩的61名糖尿病妇女,并做了NST和OCT,按White分类:3例A(均为妊娠糖尿病),14例A B(9例为妊娠性),17例B,13例C,5例D,9例F。在妊娠末3月住院,病人每天做NST,门诊病人每周做1～2次,每次30分钟或更长些,病人置半卧微左侧斜位,以外用超声传感器记录胎心率,以产力测定仪记录宫缩和胎动,记录速度为1 cm/分。OCT通常在38±1周时做,有时对特殊指征如疑有胎儿宫内窘迫时也做。行NST和OCT的时间分为(1)分娩前0～2
There is much debate about the ideal method of care for the fetus during pregnancy in diabetics. The purpose of this article is to compare the predictive value of the NST and oxytocin challenge tests (OCT) with some detailed changes in the newborn rather than just perinatal mortality. The authors prospectively studied 61 diabetics who gave birth and did NST and OCT, classified by White: 3 cases of A (all gestational diabetes mellitus), 14 cases of AB (9 cases of pregnancy), 17 cases of B and 13 cases C, 5 cases of D, 9 cases of F. Hospitalized at the end of pregnancy in March, the patient daily to do NST, outpatients do 1 or 2 times a week, each time for 30 minutes or longer, the patient set half of the left oblique position, other than the ultrasonic sensor to record fetal heart rate, Uterine contractions and fetal movement were recorded with a force-measuring device at a recording speed of 1 cm / minute. OCT is usually done at 38 ± 1 weeks, sometimes for specific indications such as suspected fetal distress. Line NST and OCT time is divided into (1) before delivery 0 ~ 2