摘要
目的：探讨远程胎心监护在产科的临床应用及其使用价值。方法：选取2011年9月～2012年9月,在该院就诊的孕期满28周的高危孕妇200例,随机分为对照组和实验组,每组100例。对照组进行常规胎心监护,实验组进行远程胎心监护。分析比较两组的监测结果、分娩方式及围产儿结局。结果：实验组无刺激胎心监护（NST）异常检出率为48.00%,较对照组的33.00%明显增高,差异具有统计学意义（P〈0.05）;两组孕妇分娩方式相比较,差异无统计学意义（P〉0.05）。实验组新生儿早产、低出生体重、羊水粪染、新生儿窒息、围产儿死亡率低于对照组,其中早产、低出生体重儿所占比例与对照组相比差异有统计学意义（P〈0.05）。结论：远程胎心监护具有很好的临床价值,有助于提高宫内诊断,降低新生儿不良结局发生率,应该被广泛使用。
Objective： To explore the clinical application and use value of remote fetal heart monitor system in obstetrical department. Methods： From September 2011 to September 2012,200 high risk pregnant women of 28 full gestational weeks in the hospital were selected and divided into control group and experimental group,100 women in each group. The women in control group were treated with conventional fetal heart monitor system,while the women in experimental group were treated with remote fetal heart monitor system. The monitoring results,delivery modes and perinatal outcomes in the two groups were analyzed and compared. Results： The detection rate of fetal heart abnormalities in experimental group was 48. 00%,which was statistically significantly higher than that in control group（ 33. 00%）（ P〈0.05）. There was no statistically significant difference in delivery modes between the two groups（ P〈0.05）. The incidence rates of premature delivery,low birth weight,meconium- staining amniotic fluid,neonatal asphyxia and perinatal death in experimental group were lower than those in control group,and there were statistically significant differences in the incidence rates of premature delivery and low birth weight（ P〈0. 05）. Conclusion： Remote fetal heart monitor system has good clinical value,and it can increase the rate of intrauterine diagnosis and reduce the incidence rate of neonatal adverse outcome,which should be widely used.
出处
《中国妇幼保健》
CAS
北大核心
2014年第27期4418-4420,共3页
Maternal and Child Health Care of China
关键词
远程胎心监护
产科
胎动
Remote fetal heart monitor system
Department of obstetrics
Fetal movement
