孕妇临床表现明显的子宫平滑肌瘤与宫缩过频的高发率相关

作     者：Sheiner E. Biderman-Madar T. Katz M. 石磊 

出 版 物：《世界核心医学期刊文摘（妇产科学分册）》 (Core Journal in Obstetrics/Gynecology)

年 卷 期：2005年第1卷第2期

页      面：21-21页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：子宫平滑肌瘤 高发率 胎儿心率 前列腺素引产 胎心率 第一产程 混杂因素 研究计划 分析控制 无显著性差异 

摘      要：This study was undertaken to determi ne uterine and fetal heart rate(FHR)tracing patterns associated with clinically apparent uterine *** and FHR patterns of44women with diagnosed uterine leio myomas were com-pared with 601tracings of *** were inter-preted during the first stage of labor,using the National Institute of Child Health and Human Development Research Planning Workshop *** tified analysis that used the Mantel -Haenszel technique was p erformed to control for *** with leio myomas had higher rates of uterine tachysystole as compared with those without leiomyomas(22.7%vs 1.3%;odds ratioOR=21.8,95%CI 7.4-65.6;P .001).No significant differ-ences were noted between the groups r egarding FHR *** rates’of prostaglandin induction and oxytocin augmentation were noted in the uterine leiomyomas group(6.8%vs 0.8%;P =.005and 52.3%vs 10.5%;P.001,respectively).However,controlling for prostag-landin induction and oxytocin augme ntation,with the use of the Mantel -Haenszel procedure,did not change the sig-nificant association between uterine leiomyomas and tachysystole(weighted OR 12.5,95%CI 6.2-75.1,an d weighted OR 8.7,95%CI 3.6-43.1,respectively).Clinically apparent uterine leiomy omas,although not cou-pled with abnormal FHR patterns,are associated with higher rates of tachysystole.