远程胎心监护对妊娠期糖尿病患者妊娠结局的作用  

Effect of Remote Fetal Heart Monitoring on Pregnancy Outcome in Patients With Gestational Diabetes Mellitus

作　　者：王丹[1] 孙雪榕 徐雪莹[1] WANG Dan;SUN Xuerong;XU Xueying(Antenatal Clinic, Jilin Maternal and Child Health Care Hospital, Changchun Jilin 130061, China)

机构地区：[1]吉林省妇幼保健院产前门诊,吉林长春130061

出　　处：《中国卫生标准管理》2017年第16期39-41,共3页China Health Standard Management

摘　　要：目的探讨远程胎心监护对妊娠期糖尿病患者妊娠结局的影响。方法以随机数字表法将在我院就诊的98例妊娠期糖尿病患者分为两组,对照组49例,采用普通胎动监测;观察组49例,采用远程胎心监护,对比两组胎儿检测结果与妊娠结局。结果观察组胎儿无刺激胎心监护异常检出率高于对照组(P<0.05);两组胎儿窘迫发生率及剖宫产率比较差异无统计学意义(P>0.05);观察组新生儿Apgar评分优于对照组(P<0.05)。结论采用远程无刺激胎心监护方式对妊娠期糖尿病患者进行胎儿监测可提高异常情况检出率,有利于改善妊娠结局,临床价值显著。Objective To investigate the effects of remote fetal monitoring on pregnancy outcome in patients with gestational diabetes mellitus.Methods98cases of gestational diabetes mellitus in our hospital were divided into two groups by random number table method.49cases in the control group were given normal fetal monitoring,49cases in observation group was given remote fetal heart monitoring,fetal test results and pregnancy outcomes of the two groups were compared.Results The abnormal rate of fetal heart stimulating monitoring in the observation group was higher than that in the control group(P<0.05).There was no significant difference in the incidence of fetal distress and the rate of caesarean section between the two groups(P>0.05).The neonatal Apgar score of the observation group was better than that of the control group(P<0.05).Conclusion Remote fetal monitoring without stimulating fetal monitoring can improve the detection rate of abnormal cases and improve the pregnancy outcome.The clinical value is remarkable.

关 键 词：远程胎心监护 妊娠期糖尿病 妊娠结局 

分 类 号：R714[医药卫生—妇产科学]