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\u9999\u6e2f\u4e2d\u6587\u5927\u5b78\uff08\u4e2d\u5927\uff09\u91ab\u5b78\u9662\u5a66\u7522\u79d1\u5b78\u7cfb\u6700\u8fd1\u4e00\u9805\u7814\u7a76\uff0c\u8b49\u5be6\u4e86\u82f1\u570b\u80ce\u5152\u91ab\u5b78\u57fa\u91d1\u6703\uff08FMF\uff09\u7684\u300c\u4e09\u91cd\u6aa2\u6e2c\u65b9\u6cd5\u300d\uff0c\u7d93\u4e2d\u5927\u6539\u826f\u5f8c\uff0c\u80fd\u6709\u6548\u9810\u6e2c\u61f7\u5b5511-13\u9031\u4e9e\u6d32\u5b55\u5a66\u60a3\u65e9\u7522\u598a\u5a20\u6bd2\u8840\u75c7\u4e4b\u98a8\u96aa\uff0c\u6709\u95dc\u7814\u7a76\u7d50\u679c\u5df2\u65bc\u570b\u969b\u671f\u520a\u300aAmerican Journal of Obstetrics and Gynecology<\/em>\u300b\u767c\u8868\u3002<\/p>

\u7814\u7a76\u767c\u73fe\uff0c\u76f8\u6bd4\u8d77\u7f8e\u570b\u5a66\u7522\u79d1\u5b78\u9662 \uff08ACOG\uff09 \u548c\u82f1\u570b\u570b\u5bb6\u5065\u5eb7\u8207\u7167\u9867\u5353\u8d8a\u7814\u7a76\u9662\uff08NICE\uff09\u73fe\u6709\u7684\u5efa\u8b70\uff0cFMF\u4e09\u91cd\u6aa2\u6e2c\u53ef\u63d0\u9ad8\u65e9\u7522\u598a\u5a20\u6bd2\u8840\u75c7\u9810\u6e2c\u7684\u9748\u654f\u5ea6\u548c\u6e96\u78ba\u6027\uff0c\u4ee4\u6aa2\u51fa\u7387\u63d0\u5347\u4e00\u500d\u3002<\/p>

\u5168\u7403\u81f3\u5c11\u6709<\/strong>2%<\/strong>\u5b55\u5a66\u66fe\u60a3\u598a\u5a20\u6bd2\u8840\u75c7<\/strong><\/strong><\/p>

\u598a\u5a20\u6bd2\u8840\u75c7\u5f71\u97ff\u5168\u7403\u7d042%\u81f38%\u7684\u5b55\u5a66\uff0c\u4e5f\u662f\u5a66\u5973\u5728\u61f7\u5b55\u671f\u9593\u51fa\u73fe\u4f75\u767c\u75c7\u53ca\u6b7b\u4ea1\u500b\u6848\u7684\u4e3b\u8981\u539f\u56e0\uff0c\u6bcf\u5e74\u67097\u842c6\u5343\u540d\u5a66\u5973\u548c50\u842c\u500b\u5b30\u5152\u56e0\u6b64\u800c\u6b7b\u4ea1\u3002\u50b3\u7d71\u65b9\u6cd5\u4ee5\u61f7\u5b5520\u9031\u5f8c\u51fa\u73fe\u9ad8\u8840\u58d3\u548c\u86cb\u767d\u5c3f\u8a3a\u65b7\u598a\u5a20\u6bd2\u8840\u75c7\u3002\u6b64\u75c7\u53ef\u5c0e\u81f4\u814e\u81df\u3001\u809d\u81df\u548c\u795e\u7d93\u7cfb\u7d71\u53d7\u640d\u7b49\u56b4\u91cd\u75c5\u75c7\uff0c\u4ea6\u53ef\u80fd\u5c0e\u81f4\u80ce\u5152\u767c\u80b2\u9072\u7de9\uff0c\u751a\u81f3\u65e9\u7522\u3002\u66fe\u60a3\u75c5\u7684\u5a66\u5973\u5c07\u4f86\u6709\u5fc3\u8840\u7ba1\u75be\u75c5\u7684\u767c\u75c5\u7387\u4ea6\u6703\u589e\u52a0\u3002\u56b4\u91cd\u7684\u598a\u5a20\u6bd2\u8840\u75c7\u5c0d\u6bcd\u89aa\u53ca\u80ce\u5152\u5747\u53ef\u9020\u6210\u81f4\u547d\u5371\u96aa\u3002<\/p>

\u4e2d\u5927\u91ab\u5b78\u9662\u5a66\u7522\u79d1\u5b78\u7cfb\u7cfb\u4e3b\u4efb\u6881\u5fb7\u694a\u6559<\/strong>\u6388<\/strong>\u89e3\u91cb\uff1a\u300c\u91ab\u5b78\u754c\u666e\u904d\u8a8d\u70ba\u598a\u5a20\u6bd2\u8840\u75c7\u4e3b\u8981\u662f\u7531\u65bc\u80ce\u76e4\u529f\u80fd\u8f03\u5dee\u6240\u81f4\uff0c\u4ee4\u80ce\u76e4\u7121\u6cd5\u63d0\u4f9b\u8db3\u5920\u7684\u8840\u6db2\u7d66\u80ce\u5152\uff0c\u5c0e\u81f4\u5b50\u5bae\u52d5\u8108\u8840\u7ba1\u8212\u5f35\u4e0d\u826f\uff0c\u7e7c\u800c\u5f15\u81f4\u598a\u5a20\u6bd2\u8840\u75c7\u7684\u5e38\u898b\u75c7\u72c0\u3002\u300d<\/p>

\u6709\u8b49\u64da\u986f\u793a\uff0c\u70ba\u65e9\u7522\u598a\u5a20\u6bd2\u8840\u75c7\u9ad8\u98a8\u96aa\u7684\u5b55\u5a66\u8655\u65b9\u4f4e\u5291\u91cf\u7684\u963f\u58eb\u5339\u9748\u53ef\u4ee5\u4f7f\u56b4\u91cd\u598a\u5a20\u6bd2\u8840\u75c7\u7684\u60a3\u75c5\u7387\u964d\u4f4e\u81f3\u5c11\u516d\u6210\uff0c\u4f46\u7531\u65bc\u6b63\u78ba\u5291\u91cf\u7684\u6cbb\u7642\u5fc5\u9808\u5728\u61f7\u5b5516\u9031\u4e4b\u524d\u958b\u59cb\uff0c\u56e0\u6b64\uff0c\u53ca\u65e9\u8b58\u5225\u98a8\u96aa\u5c0d\u65bc\u9069\u6642\u53ca\u6709\u6548\u9810\u9632\u9019\u7a2e\u56b4\u91cd\u75c5\u75c7\u76f8\u7576\u91cd\u8981\u3002<\/p>

FMF<\/strong>\u4e09\u91cd\u6aa2\u6e2c\u63d0\u4f9b\u5177\u66f4\u9ad8\u9748\u654f\u5ea6\u548c\u6e96\u78ba\u6027\u7684\u7be9\u67e5<\/strong><\/strong><\/p>

\u50b3\u7d71\u7684\u598a\u5a20\u6bd2\u8840\u75c7\u7be9\u67e5\u65b9\u6cd5\u662f\u5f9e\u5b55\u5a66\u7279\u5fb5\uff0c\u7522\u53f2\u548c\u75c5\u53f2\u4e2d\u8b58\u5225\u98a8\u96aa\u56e0\u7d20\u3002\u7be9\u67e5\u65b9\u6cd5\u5747\u7531\u91ab\u5b78\u754c\u6b0a\u5a01\u6a5f\u69cb\u5efa\u8b70\uff0c\u4f8b\u5982ACOG\u548cNICE\u3002\u4f46\u6709\u8b49\u64da\u986f\u793a\uff0c\u82e5\u50c5\u57fa\u65bc\u5b55\u5a66\u98a8\u96aa\u56e0\u7d20\u4f86\u9810\u6e2c\u65e9\u7522\u598a\u5a20\u6bd2\u8840\u75c7\uff0c\u7be9\u67e5\u7684\u8868\u73fe\u5be6\u70ba\u6709\u9650\u3002<\/p>

\u4e2d\u5927\u91ab\u5b78\u9662\u5a66\u7522\u79d1\u5b78\u7cfb\u6559\u6388\u6f58\u662d\u9824\u6559\u6388<\/strong>\u65e9\u5e74\u5728\u82f1\u570b\u7387\u9818\u7814\u7a76\u5718\u968a\u8207\u82f1\u570b\u80ce\u5152\u91ab\u5b78\u57fa\u91d1\u6703\uff08FMF\uff09\u5408\u4f5c\u958b\u767c\u51fa\u53e6\u4e00\u7a2e\u7be9\u67e5\u65e9\u7522\u598a\u5a20\u6bd2\u8840\u75c7\u7684\u65b9\u6cd5\uff0c\u540d\u70ba\u300cFMF\u4e09\u91cd\u6aa2\u6e2c\u300d\uff0c\u4e26\u5f97\u5230\u4e86\u570b\u969b\u5a66\u7522\u79d1\u806f\u5408\u6703\uff08FIGO\uff09\u7684\u8a8d\u53ef\u3002\u8a72\u7be9\u67e5\u65b9\u6cd5\u7d50\u5408\u75c5\u53f2\u548c\u5b55\u5a66\u7279\u5fb5\u8207\u5e73\u5747\u52d5\u8108\u58d3\u3001\u5b50\u5bae\u52d5\u8108\u640f\u52d5\u6307\u6578\uff08UtA-PI\uff09\u548c\u8840\u6e05\u80ce\u76e4\u751f\u9577\u56e0\u5b50\uff08PlGF\uff09\uff0c\u4f86\u8a55\u4f30\u5b55\u5a66\u60a3\u65e9\u7522\u598a\u5a20\u6bd2\u8840\u75c7\u7684\u98a8\u96aa\u3002\u6b64\u65b9\u6cd5\u53ef\u5728\u65e9\u5b55\u671f\uff08\u5373\u61f7\u5b5511\u81f313\u9031\uff09\u8a55\u4f30\u60a3\u65e9\u7522\u598a\u5a20\u6bd2\u8840\u75c7\u7684\u98a8\u96aa\uff0c\u4e26\u5df2\u5728\u591a\u500b\u6b50\u7f8e\u570b\u5bb6\u5305\u62ec\u897f\u73ed\u7259\u3001\u610f\u5927\u5229\u548c\u7f8e\u570b\u7b49\u901a\u904e\u4e86\u9a57\u8b49\u3002<\/p>

\u70ba\u4e86\u9a57\u8b49FMF\u4e09\u91cd\u6aa2\u6e2c\u662f\u5426\u65bc\u4e9e\u6d32\u5730\u5340\u4ea6\u53ef\u6709\u6548\u8b58\u5225\u65e9\u7522\u598a\u5a20\u6bd2\u8840\u75c7\u9ad8\u98a8\u96aa\u7684\u5b55\u5a66\uff0c\u6f58\u662d\u9824\u6559\u6388\u53ca\u5979\u7684\u5718\u968a\u57282016\u5e74\u81f32018\u5e74\u9593\u9032\u884c\u4e86\u4e00\u9805\u524d\u77bb\u6027\u7814\u7a76\uff0c\u6539\u826fFMF\u4e09\u91cd\u6aa2\u6e2c\u4ee4\u5176\u66f4\u9069\u7528\u65bc\u4e9e\u6d32\u5b55\u5a66\uff0c\u9810\u6e2c\u5979\u5011\u51fa\u73fe\u65e9\u7522\u598a\u5a20\u6bd2\u8840\u75c7\u7684\u98a8\u96aa\u3002\u9664\u6b64\u4e4b\u5916\uff0c\u7814\u7a76\u540c\u6642\u4ee5ACOG\u548cNICE\u7684\u7be9\u67e5\u65b9\u6cd5\u8b58\u5225\u53c3\u52a0\u8005\u7684\u65e9\u7522\u598a\u5a20\u6bd2\u8840\u75c7\u98a8\u96aa\uff0c\u4ee5\u6bd4\u8f03\u5404\u65b9\u6cd5\u7684\u9748\u654f\u5ea6\u548c\u6e96\u78ba\u6027\u3002\u7814\u7a76\u6a6b\u8de8\u4e9e\u6d327\u500b\u5730\u5340\uff0c\u5171\u670910,935\u540d\u61f7\u5b5511\u81f313\u9031\u7684\u55ae\u80ce\u5b55\u5a66\u53c3\u8207\u3002<\/p>

\u7814\u7a76\u6578\u64da\u6307\uff0c\u7576\u5047\u967d\u6027\u7387\u63a7\u5236\u5728\u7d045\uff05\uff0cFMF\u4e09\u91cd\u6aa2\u6e2c\u53ef\u6e96\u78ba\u8b58\u522548.2\uff05\u7684\u65e9\u7522\u598a\u5a20\u6bd2\u8840\u75c7\u60a3\u8005\uff0c\u800c\u6839\u64daNICE\u5efa\u8b70\u7684\u7be9\u67e5\u65b9\u6cd5\u50c5\u80fd\u8b58\u5225\u51fa26.3\uff05\u60a3\u8005\uff1b\u7576\u5047\u967d\u6027\u7387\u63a7\u5236\u5728\u7d0420\uff05\u6642\uff0cFMF\u4e09\u91cd\u6aa2\u6e2c\u53ef\u6e96\u78ba\u8b58\u522575.8\uff05\u7684\u65e9\u7522\u598a\u5a20\u6bd2\u8840\u75c7\u60a3\u8005\uff0c\u6839\u64daACOG\u5efa\u8b70\u7684\u7be9\u67e5\u65b9\u6cd5\u6240\u5f97\u7684\u6aa2\u51fa\u7387\u5247\u53ea\u670954.6%\u3002<\/p>

 <\/p>

 <\/p><\/td>

\u6aa2\u51fa\u7387
(\u5047\u967d\u6027\u7387\u7d04\u70ba5%)<\/p><\/td>

\u6aa2\u51fa\u7387
(\u5047\u967d\u6027\u7387\u7d04\u70ba20%)<\/p><\/td><\/tr>

FMF\u4e09\u91cd\u6aa2\u6e2c\u65b9\u6cd5<\/p><\/td>

48.2%<\/p><\/td>

75.8%<\/p><\/td><\/tr>

ACOG\u5efa\u8b70\u7684\u7be9\u67e5\u65b9\u6cd5<\/p><\/td>

-<\/p><\/td>

54.6%<\/p><\/td><\/tr>

NICE\u5efa\u8b70\u7684\u7be9\u67e5\u65b9\u6cd5<\/p><\/td>

26.3%<\/p><\/td>

-<\/p><\/td><\/tr><\/tbody><\/table>

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