网络远程胎心监护系统的临床应用分析  

Clinical application of networked remote fetal heart monitoring system

作　　者：吴彩萍 阮辉 顾华英 WU Caiping;RUAN Hui;GU Huaying(Department of Equipment,Tinglin Hospital,Jinshan District,Shanghai 201505,China;Department of Obstetrics and Gynecology,Tinglin Hospital,Jinshan District,Shanghai 201505,China)

机构地区：[1]上海市金山区亭林医院设备科,上海201505 [2]上海市金山区亭林医院妇产科,上海201505

出　　处：《外科研究与新技术》2021年第2期138-142,共5页Surgical Research and New Technique

摘　　要：目的在妊娠晚期孕妇中使用网络远程电子胎心监护(electronic fetal monitoring,EFM)系统,并与传统EFM进行比较,分析其对于妊娠结局的改善效果。方法研究对象为2019年1月-2020年1月收治的妊娠晚期孕妇298例;依据术后治疗方法分为两组,传统组孕妇采用常规EFM检查(142例),网络组孕妇采用网络远程EFM检查(156例)。观察指标包括两组孕妇妊娠晚期胎儿管理指标、妊娠期间不良心理状态评分、最终分娩方式及胎儿妊娠结局。结果网络组孕妇的胎心、胎动、无应激实验(non-stress test,NST)异常检出率均明显优于传统组(P<0.05)。干预后,两组孕妇的焦虑、抑郁等不良心理状态评分均获得明显改善;网络组孕妇的焦虑、抑郁等不良心理状态评分均明显低于传统组(P<0.05)。两组孕妇的顺产、助产及剖宫产等分娩方式的占比差异较小(P>0.05)。网络组孕妇的早产、新生儿窒息、羊水污染及体质量过低等不良妊娠结局发生率均明显低于传统组(P<0.05)。结论网络远程EFM系统具有简便、安全、高效的应用优势,孕妇接受程度高,存在较高的敏感性、准确性及时效性,有利于突破传统时间与空间的限制、节约医患双方的时间与精力,更大程度地降低诊治压力、优化医疗资源的配置。因此,建议依据实际情况优先选择网络远程EFM以达到规避胎儿缺氧的发生、改善妊娠质量的效果。Objective To compare the effects of networked remote electronic fetal monitoring(EFM)and traditional EFM in the late stage of pregnancy on the outcome of pregnancy.Methods The study subjects were 298 pregnant women of late pregnancy admitted from January 2019 to January 2020.According to postoperative treatment method,they were divided into two groups:a traditional group who received conventional EFM examination(142 cases)and a network group who received networked remote EFM examination(156 cases).Fetal management during late pregnancy,adverse psychological status score during pregnancy,final mode of delivery,and pregnancy outcome were compared between the two groups.Results The abnormal rates of fetal heart,fetal movement,and non-stress test(NST)results were significantly lower in the network group than those in the traditional group(P<0.05).After the intervention,both groups of pregnant women showed significant improvement in anxiety and depression scores;the network group showed significantly lower anxiety and depression scores than the traditional group(P<0.05).No differences were found in the distribution of normal,assisted,and caesarean deliveries between the two groups of pregnant women(P>0.05).The incidence rates of adverse pregnancy outcomes such as premature birth,neonatal asphyxia,amniotic fluid contamination,and low body weight were significantly lower in the network group than those in the traditional group(P<0.05).Conclusion The networked remote EFM system has the advantages of simple,safe,and efficient application,high acceptance by pregnant women,as well as high sensitivity,accuracy and timeliness,which is conducive to breaking the traditional time and space limitation,saving time and energy of both doctors and patients,reducing the pressure of diagnosis and treatment,and optimizing the allocation of medical resources to a greater extent.Therefore,it is recommended to prioritize networked remote EFM in order to avoid fetal hypoxia and improve the quality of pregnancy.

关 键 词：妊娠晚期 网络技术 远程电子胎心监护 无应激实验 妊娠结局 

分 类 号：R715.7[医药卫生—妇产科学]