远程胎儿监护在高危妊娠中的临床应用  

The Clinical Use of the Remote Fetal Heart Rate Monitoring in High Risk Preg-nancy

作　　者：焦玲洁[1] 张珂[1] 

机构地区：[1]浙江大学医学院附属妇产科医院,浙江杭州310006

出　　处：《实用妇产科杂志》2006年第6期373-374,共2页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:探讨远程胎儿监护在高危妊娠中的临床应用。方法:2004年3月至2005年6月在产科门诊诊断为高危妊娠的孕妇57例作为研究组,并于孕35周以后用远程胎儿监护终端部分(以远程胎儿监护结合胎动计数进行家庭自我监护),随机选择同期高危妊娠孕妇58例,在家中以胎动计数结合门诊常规NST检查作自我监护,作为对照组,比较两组的NST异常和围生儿不良预后发生率。结果:研究组57例孕妇中,NST异常21例,检出率为37%,对照组58例,NST异常11例,检出率为19%,两组比较差异有显著性(P<0.05),对照组58例中,发生围生儿不良预后27例,发生率为47%,研究组57例中发生围生儿不良预后12例,发生率为21%,两组比较差异有显著性(P<0.05)。结论:应用远程胎儿监护对高危妊娠的监测,可降低新生儿窒息等围生儿预后不良的发生率,为高危妊娠孕妇的自我监护和管理开辟了一条有效、实用、可行的途径。Objective：To investigate the clinical use of the remote fetal heart rate monitoring in high risk pregnancy.Methods：Non-stress test （NST） was carried on in 57 cases of high-risk pregnant women by remote fetal monitoring （study group）after 35 gestational weeks. Meantime,another 58 cases of high-risk pregnant women served as control group, monitored fetal movement counting daily and regular NST check-up in hospital. Results of fetal monitoring and prenatal prognosis were compared. Results：The rate of abnormal NST result in study group （21/57） was higher than those in control group （11/58） （ P 〈0. 05）. There was significant difference in the occurrence of poor prenatal prognosis between study group and control group （21% vs 47%, P 〈 0.05）. Conclusions： Remote fetal monitoring can be used to improve the quality of fetal monitoring by reducing the rate of neonatal asphyxia and poor prenatal prognosis. It offers a reliable and effective method of fetal monitoring at home and administration in high risk pregnancy.

关 键 词：远程监护 胎儿 高危妊娠 

分 类 号：R714.5[医药卫生—妇产科学]