ID 113325
タイトル別表記
電気的速度測定法を用いた健康妊婦における経腟分娩直後の循環動態の検討
Electrical cardiometry for hemodynamics
著者
吉田, あつ子 徳島大学大学院医科学教育部(医学専攻)
祖川, 英至 The University of Tokushima
Yamao, Masami Tokushima University
前田, 和寿 The University of Tokushima|Shikoku Medical Center for Children and Adults KAKEN研究者をさがす
キーワード
Electrical cardiometry
Pregnancy
Parturition
Hemodynamics
Vaginal delivery
資料タイプ
学位論文
抄録
Few reports have focused on hemodynamics around delivery in pregnant women because of the difficulty of continuous and noninvasive measurement. Electrical cardiometry allows noninvasive continuous monitoring of hemodynamics and has recently been used in non-pregnant subjects. We compared the use of electrical cardiometry versus transthoracic echocardiography in healthy pregnant women and evaluated hemodynamics immediately after vaginal delivery. In Study 1, electrical cardiometry and transthoracic echocardiography were used to measure cardiac output in 20 pregnant women with threatened premature delivery. A significant correlation was found between the two methods, with electrical cardiometry showing the higher cardiac output. In Study 2, heart rate, stroke volume, and cardiac output were continuously measured in 15 women during vaginal delivery up to 2 h postpartum. Cardiac output increased markedly because of an increased heart rate and stroke volume at the time of newborn delivery. The heart rate then immediately returned to baseline, while cardiac output remained elevated for at least 2 h after delivery because of a sustained high stroke volume. Electrical cardiometry was as readily available as transthoracic echocardiography for evaluating hemodynamics and allowed for continuous measurement during labor. High intrapartum cardiac output was sustained for at least 2 h after vaginal delivery.
掲載誌名
The Journal of Medical Investigation
ISSN
13496867
13431420
cat書誌ID
AA12022913
AA11166929
出版者
Tokushima University Faculty of Medicine
66
1-2
開始ページ
75
終了ページ
80
並び順
75
発行日
2019-02
備考
内容要旨・審査要旨・論文本文の公開
本論文は,著者Atsuko Yoshidaの学位論文として提出され,学位審査・授与の対象となっている。
EDB ID
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
博士論文全文を含む
文科省報告番号
甲第3241号
学位記番号
甲医第1390号
学位授与年月日
2018-10-25
学位名
博士(医学)
学位授与機関
徳島大学
部局
病院
医学系