中国冶金工业医学杂志

广州市花都区孕晚期远程胎心监护研究

分类号：R 71

出版年,卷(期):页码：2017,34(4):378-379

摘要：

摘要：目的探讨孕晚期远程胎心监护在产科的临床应用及其使用价值。方法选取 2016年1月至2017年6月在我院诊断为妊娠的孕妇204例，随机分为研究组101例和对照组103例，均在妊娠35 w。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。结果研究组NST图形异常监测次数检出率4482%较对照组高，差异具有统计学意义(P＜005）。研究组的基线异常图形检出率2601%，明显高于对照组，差异具有统计学意义（P＜005），研究组无反应型检出率高于对照组，差异具有统计学意义（P＜005)。两组孕妇分娩方式比较，差异无统计学意义(P＞005），研究组羊水污染、新生儿窒息、低体重儿的发生率均低于对照组，差异具有统计学意义（P＜005)。而早产的发生率两组无明显区别（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。关键词：孕晚期远程胎心监护；胎儿；围生儿预后

Abstract：ObjectiveTo explore the clinical application and value of remote monitoring of fetal heart in late pregnancy in obstetrics and gynecology MethodsFrom January 2016 to June 2017,204 pregnant women in the gestational age range of 35 weeks in our hospital were randomly divided into study group（n=101）and control group（n=103) Routine monitoring of fetal heart was used in control group and remote monitoring of fetal heart was used in study group The monitoring results,mode of delivery and perinatal outcome in the two groups were analyzed ResultsThe detection rate of NST abnormalities in the study group was 4482%,higher than that in the control group,the difference was statistically significant（P<005) The detection rate of the baseline abnormal pattern was 2601% in study group,which was significantly higher than that of the control group（P<005) The detection rate of the nonresponders in the study group was higher than that in the control group,the difference was statistically significant（P<005) There was no significant difference in the mode of delivery between the two groups（P＞005) The incidence of amniotic fluid pollution,neonatal asphyxia and low birth weight infants in the study group were lower than those in the control group,the difference was statistically significant（P＜005) The incidence of preterm birth was not significantly different between the two groups(P＞005) ConclusionRemote fetal heart rate monitoring has a good clinical value,can help to improve intrauterine diagnosis and reduce the incidence of adverse outcomes of newborns,should be widely usedKey Words:Late pregnancy long fetal heart rate monitoring；Fetal；Perinatal prognosis

基金项目：

作者简介：

参考文献：

[1\]李博雅,杨慧霞产时电子胎心监护规范化临床应用的研究进展\[J\]中华妇产科学杂志,2014,49(5):385\|388

\[2\]丰有吉，沈铿．妇产科学\[M\]．北京：人民卫生出版社，2008：52．

\[3\]曹泽毅．中华妇产科学\[M\]．北京：人民卫生出版社，2007：714．

\[4\]张红卫，刘汉美．电话远程胎儿监护的临床效果评价：附46例报告\[J\]．哈尔滨医药，2005，25(3)：75\|76．

\[5\]王秀珍．远程胎儿监护在妊娠晚期孕妇自我监测中的应用分析\[J\]．海南医学，2006，17(10)：108\|109．

服务与反馈：

【文章下载】【加入收藏】