基于互联网的远程胎儿电子胎心监护在妊娠晚期孕妇中的应用和效果观察  

Application and effect observation of remote fetal heart rate monitoring based on internet in pregnant women in late pregnancy

作　　者：贾红知 马玉红 刘欢 肖建华 张瑶瑶 JIA Hong-zhi;MA Yu-hong;Liu Huan;XIAO Jian-hua;ZHANG Yao-yao(Department of Obstetrics and Gynecology,Dongguan Kanghua Hospital,Dongguan Guangdong 523000,P. R. China)

机构地区：[1]东莞康华医院妇产科

出　　处：《中国计划生育和妇产科》2019年第8期45-48,共4页Chinese Journal of Family Planning & Gynecotokology

基　　金：东莞市科学技术计划项目(项目编号:2018507150591625)

摘　　要：目的分析远程电子胎心监护(electronic fetal monitoring,EFM)在妊娠晚期孕妇中的临床应用价值。方法选取2017年3月至2018年3月至东莞康华医院妇产科接受产前检查的孕晚期孕妇320例,采用随机数字表法将其分为观察组和对照组,每组各160例。对照组进行常规检查,观察组进行远程EFM,比较两组监测结果、妊娠不良心理、分娩方式和围产儿结局。结果观察组胎动、胎心、产前胎心监护无应激试验(non-stress test,NST)异常检出率均较对照组显著升高,差异有统计学意义(P <0. 05);干预两周后,观察组抑郁自评量表和汉密顿焦虑量表评分较对照组明显降低(P <0. 05)。观察组新生儿窒息、低体重儿的发生率均低于对照组,差异有统计学意义(P <0. 05);两组孕妇的分娩方式比较,差异无统计学意义(P> 0. 05)。结论远程EFM能够提高妊娠晚期不良事件检出率,缓解妊娠期不良心理,改善围生儿不良妊娠结局,具有较高推广价值。Objective To analyze the clinical application value of remote electronic fetal monitoring( EFM) in pregnant women in late pregnancy. Methods From March 2017 to March 2018,320 pregnant women in the third trimester of pregnancy admitted to the Department of Obstetrics and Gynecology,Dongguan Kanghua Hospital were randomly divided into observation group and control group,and the control group was routinely examined. The observation group underwent remote EFM and compared the two groups of monitoring results,poor pregnancy psychology,mode of delivery and perinatal outcomes. Results The abnormal detection rate of fetal movement,fetal heart rate and non-stress test( NST) in the observation group was significantly higher than that in the control group,the difference was statistically significant( P<0. 05). After two weeks of intervention,the scores of Self-rating Depression Scale( SDS) and Hamilton Anxiety Scale( HAMA) in the observation group were significantly lower than those of the control group( P<0. 05). The incidence of neonatal asphyxia and low birth weight in the observation group was lower than that in the control group. The difference between the two groups was statistically significant( P<0. 05). There was no significant difference in the delivery modes between the two groups( P>0. 05). Conclusion Remote EFM can improve the detection rate of adverse events in the third trimester of pregnancy,alleviate the bad psychology during pregnancy,and reduce the adverse pregnancy outcome of perinatal children. It has a high promotion value.

关 键 词：远程电子胎心监护 妊娠晚期 胎儿 围生儿预后 

分 类 号：R714.1[医药卫生—妇产科学]