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乳头刺激试验的临床价值,在国内外文献中均予以肯定,并认为在安全、简便、省时和有效等方面优于OCI.另一方面也指出其主要缺点是有引起过度宫缩和胎心过缓的可能,对胎儿存在潜在危险.本文通过25例临床分析以探讨其临床意义及处理.临床资料1985年8月至1988年7月间,我院共作乳头刺激试验335例次中,发生过度宫缩(指一次宫缩持续时间达到或超过90秒)40例,发生率11.9%.40例中25例伴有胎心过缓。占62.5%.40例过度宫缩均发生于试验开始后的第一次宫缩时.刺激乳头至诱发过度宫缩的时间平均为2分30秒,最短不足1分钟,最长 3分钟.31例(77.5%)刺激时间在5分钟之内.过度宫缩的持续时间最长15分钟,其中32例(80%)持续5分钟以上,平均5分47秒.
The clinical value of nipple stimulation test is affirmed in the literature both at home and abroad and is considered to be superior to OCI in terms of safety, convenience, time saving and effectiveness, etc. On the other hand, its main disadvantage is that it causes excessive contractions and fetal heart rate Too slow possible, there is a potential risk to the fetus.This article through 25 cases of clinical analysis to explore its clinical significance and treatment.Clinical data between August 1985 to July 1988, a total of 335 cases of nipple stimulation test in our hospital, Occurred over the contractions (refers to a duration of contractions or more than 90 seconds) 40 cases, the incidence rate of 11.9% .40 cases of 25 cases with fetal heart rate too slow. Accounting for 62.5% .40 cases of excessive uterine contractions were occurred in the first contractions after the start of the test.Stimulation of the nipple to induce excessive contraction of the average time of 2 minutes and 30 seconds, the shortest of less than 1 minute, a maximum of 3 minutes.31 Cases (77.5%) were stimulated for less than 5 minutes.The duration of excessive uterine contractions was up to 15 minutes, of which 32 (80%) lasted more than 5 minutes with an average of 5 minutes and 47 seconds.