摘要
目的 探讨专家型远程胎儿监护系统作为围产期孕妇家庭自我监护方法的临床应用价值。方法 将 2 84例孕妇按随机数字表法分为试验组 (134例 )和对照组 (15 0例 ) ,试验组中高危孕妇73例、非高危孕妇 6 1例 ,对照组高危孕妇 78例、非高危孕妇 72例。试验组孕妇以专家型远程胎儿监护系统结合胎动计数进行家庭自我监护 ,每日定时听取、传输胎心率至监护中心 ,选择胎动活跃时每周在家中进行胎儿无负荷试验 (NST) 1～ 2次 ;自觉胎动异常时及时行NST检查 ,并传输胎心率曲线图至监护中心 ,医生根据结果即时做出诊断和处理。对照组以胎动计数和常规门诊NST检查作为监护方式。结果 试验组NST异常检出率 (2 2 0 % )较对照组 (13 5 % )显著升高 (P <0 0 5 ) ,试验组中高危孕妇与非高危孕妇异常NST检出率分别为 2 2 3%和 2 1 6 % ,差异无显著性 (P >0 0 5 ) ;试验组新生儿窒息发生率 (1 5 % )明显低于对照组 (4 0 % ,P <0 0 5 )。结论 专家型远程胎儿监护系统是家庭自我监护的新方法 ,它可减轻妊娠晚期孕妇的心理压力 。
Objective To investigate the clinical value of the expert type terminal of long distance electronic fetal heart rate home monitoring system in the application to self monitoring of pregnant woman at home in peripartum Methods All the pregnant women ( n =284) were divided into two groups Research group ( n = 134) contained 73 high risk gravida There were 78 high risk gravida in control group ( n =150) In the research group, self monitoring at home in 134 women was taken by the expert type terminal of long distance electronic fetal heart rate monitoring system through telephone and fetal movement counting The women were requested to auscultate and transfer fetal heart rate (FHR) to electronic FHR monitoring center in hospital Non stress test(NST) was made 1～2 times every week when fetal movement was active When women felt any abnormality of baby, she should immediately test NST and then the photograph of NST was send to FHR monitoring center by telephone Doctor would make a diagnosis and management in time according to the photograph of NST In the control group, the way of fetal monitoring was fetal movement counting and regular NST test in the outpatient clinic Results The incidence of abnormal NST was significantly higher in the research group than that in the control group (respectively 22 0% vs 13 5%, P <0 05) The neonatal asphyxia was significantly lower in the research group than that in the control group (respectively 1 5% vs 4 0%, P <0 05) The incidence of abnormal NST was not different between the high risk women and non high risk women in the research group (respectively 22 3% vs 21 6%, P >0 05) Conclusions The expert type terminal of long distance electronic FHR monitoring system through telephone is a new way of the FHR self monitoring at home The application of this method could ease mental press of the women, decrease significantly perinatal mortality, decrease incidence of neonatal asphyxia, and improve quality of obstetrics Whatever there are high risk factors in any pregnant women, the system should be appied to all late pregnant women
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
2002年第8期459-461,共3页
Chinese Journal of Obstetrics and Gynecology
