电话远程胎儿监护系统的临床意义  

Clinical Application of Remote Electronic Fetal Heart Rate Monitoring System by Telephone

作　　者：郭晓辉 陈小荷 袁红 梁慧萍 

机构地区：[1]深圳市人民医院妇产科,深圳市518000

出　　处：《医药论坛杂志》2005年第13期18-19,22,共3页Journal of Medical Forum

摘　　要：目的评价电话远程胎儿监护系统的临床应用价值,探讨孕妇家庭自我监护的新途径。方法将393例28孕周以上孕妇分为试验组(202例)和对照组(191例),试验组高危孕妇104例、无高危因素孕妇98例;对照组高危孕妇100例、无高危因素孕妇91例。试验组孕妇每日使用电话远程胎儿监护系统终端定时听取、传输胎心至产科监护中心,并在家中每周一次进行胎儿无负荷电子监护(NST),自觉胎动异常时及时行NST并将胎心率或胎心曲线图传至监护中心,医生及时进行观察、判断和处理。对照组常规门诊NST和胎动计数。结果两组分娩孕周、新生儿体重均无显著差异;试验组孕妇无负荷电子监护异常检出率较对照组显著升高,试验组中高危组与无高危因素组异常检出率无差异;新生儿窒息发生率明显低于对照组。结论电话远程胎儿监护是自我家庭监护的新途径,无论有无高危因素均值得广泛推广,有效降低围产期死亡率和新生儿窒息率、提高产科质量。Objective To investigate the value of the long-distance electronic fetal heart rate monitoring system for pregnant woman. Methods All the 393 pregnant women with 28 weeks and over were divided into two groups. Researched group (202 cases)and control group(191 cases),the research group contained 104 high risk gravida and non-danger factor gravida 98 cases. There were 100 high-risk gravida and non-danger gravida 91 cases in controlled group. In the researched group, self-monitoring at home was taken by the remote electronic fetal heart rate monitoring system by telephone and fetal movement counting. The women were requested to auscultate and transfer fetal heart rate (FHR) to electronic FHR monitoring center in hospital. No stress test(NST) was made 1～2 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 controllgroup, the way of fetal monitoring was fetal movement counting and regular NST test in the outpatient. Results The incidence of abnormal NST was significantly higher in the researched group than that in the controlled group. The neonatal asphyxia was significantly lower in the researched group than that in the controlled group. The incidence of abnormal NST was not different between the high-risk women and no high-risk women in the researched group. Conclusion The long-distance electronic FHR monitoring system through telephone was a new way of the FHR self-monitoring at home. Use of this system could decrease incidence of neonatal asphyxia, and improve quality of obstetrics. Whatever there are high risk factors in any pregnant women, the system should be applied to all late pregnant women.

关 键 词：胎儿心率 胎儿监测 胎儿窘迫新生儿窒息 电话 

分 类 号：R714.51[医药卫生—妇产科学]