远程胎儿监护对监测孕产妇新生儿出生情况及提高保健质量重要性分析  

Analysis of importance of remote fetal monitoring in monitoring birth situation of newborns and improving care quality

作　　者：欧阳芳芳[1] 王秀云[1] 黄丽萍[1] 孙玉春[1] 

机构地区：[1]广州医科大学附属深圳沙井医院妇产科,518104

出　　处：《检验医学与临床》2017年第12期1712-1714,共3页Laboratory Medicine and Clinic

基　　金：广东省深圳市科技创新委员会技术开发资金项目(CXZZ20140902102350474)

摘　　要：目的探讨远程胎儿监护对监测孕产妇新生儿出生情况及提高保健质量作用。方法选取2015年6月至2016年9月确诊妊娠晚期高危孕妇300例为研究对象,采用信封分组法将患者分为远程组和常规组,远程组采用远程胎儿监护系统监测,常规组行常规产前检查,比较两组患者胎动异常、胎心异常、无应激试验(NST)检出异常率,妊娠期不良心理状况、分娩方式及围生儿结局。结果远程组患者胎动异常、胎心异常及NST检出异常率均高于常规组(P<0.05)。干预2周后,远程组患者HAMA、SDS评分均较常规组有明显改善(P<0.05)。两组患者阴道顺产、胎头吸引、产钳助产、剖宫产率比较差异无统计学意义(P>0.05)。远程组围生儿早产、新生儿窒息、胎儿窘迫、羊水粪染、新生儿缺血缺氧性脑病发生率均低于常规组(P<0.05)。结论远程胎儿监护在高危孕妇中监测能提高妊娠期不良事件检出率,降低妊娠期孕妇不良心理,降低围生儿不良妊娠结局,具有较高临床应用价值。Objective To explore the role of remote fetal monitoring in monitoring the birth status of newborns and improving the care quality.Methods Three hundreds high-risk pregnant women at the third trimester of pregnancy in our hospital from June2015 to September 2016 were selected as the research subjects and divided into the remote group and routine group by the envelope grouping method.The remote group was monitored by adopting the remote fetal monitoring system,while the routine group conducted the routine prenatal care.The fetal movement abnormalities,abnormal fetal heart rate,detection abnormal rate in non-stress test（NST）,adverse mental state during pregnancy,delivery mode and perinatal outcome were compared between the two groups.Results The fetal movement abnormalities,abnormal fetal heart rate and abnormal NST detection rate in the remote group were higher than those in the remote group（P〈0.05）.The HAMA and SDS scores after 2-week intervention in the remote group were significantly improved compared with the routine group（P〈0.05）.The vaginal spontaneous delivery,fetal head suction,forceps delivery and cesarean section rate had no statistically significant difference between the two groups（P〉0.05）.Premature birth,neonatal asphyxia,fetal distress,meconium-stained amniotic fluid and incidence rate of neonatal hypoxic ischemic encephalopathy in the remote group were lower than those in the routine group（P〈0.05）.Conclusion The remote fetal monitoring in high-risk pregnant women monitoring can increase the detection rate of adverse events during pregnancy,reduces the adverse psychology of pregnant women,decreases perinatal adverse pregnancy outcomes,and has higher clinical value.

关 键 词：高危孕产妇 远程胎儿监护系统 分娩结局 

分 类 号：R714.5[医药卫生—妇产科学]