穿戴式胎儿心电监护仪在非产时的应用价值  

Application value of wearable fetal ECG monitor in non-labor time

作　　者：岳永飞 张晓倩 周丽屏[1] 周信芳[1] 薛改秀 奚琦 朱利平[1] YUE Yongfei;ZHANG Xiaoqian;ZHOU Liping;ZHOU Xinfang;XUE Gaixiu;XI Qi;ZHU Liping(Department of Obstetrics and Gynecology,the Affiliated Suzhou Hospital of Nanjing Medical University,Suzhou Municipal Hospital,Jiangsu,Suzhou 215002,China)

机构地区：[1]南京医科大学附属苏州医院,苏州市立医院妇产科,江苏苏州215002

出　　处：《中国医药科学》2022年第7期113-115,149,共4页China Medicine And Pharmacy

基　　金：江苏省苏州市科技发展计划项目(SYSD2020133,SKJYD2021222);江苏省苏州市临床医学专家团队引进项目(SZYJTD201709)。

摘　　要：目的探讨穿戴式胎儿心电监护仪在非产时胎心监护的应用价值。方法随机选取2019年1月至2020年6月在苏州市立医院定期产检并住院分娩的单胎孕妇110例为研究对象,同时采用多普勒胎心监护仪和穿戴式胎儿心电监护仪对其进行监护,统计研究对象的一般情况,比较两种胎心监护方式的效果。结果穿戴式胎儿心电监护仪与传统多普勒胎心监护仪相比,两者胎心基线、加速次数、加速幅度、加速时间、减速次数、减速幅度和减速时间差异均无统计学意义(P>0.05);多普勒监护仪的脱落次数和脱落时间均大于穿戴式胎儿心电监护仪,差异有统计学意义(P<0.05)。结论穿戴式胎儿心电监护仪方便、快捷,不受孕妇体位影响,具有较好的临床应用价值。Objective To explore the application value of wearable fetal electrocardiogram(ECG)monitor in fetal heart monitoring in non-labor time.Methods A total of 110 cases of singleton pregnant women who received regular prenatal examinations and hospitalized for delivery in Suzhou Municipal Hospital from January 2019 to June 2020 were randomly selected as study subjects.They were monitored by both Doppler fetal heart monitor and wearable fetal ECG monitor,and their general conditions were counted to compare the effects of the two fetal heart monitoring methods.Results There were no statistically significant differences between the conventional Doppler fetal heart monitor and the wearable fetal ECG monitor in detecting the bas eline fetal heart rate,number of accelerations,acceleration amplitude,acceleration time,number of decelerations,deceleration amplitude and deceleration time(P>0.05).The number of dislodgements and dislodgement time of the Doppler monitor were greater than those of the wearable fetal ECG monitor,with statistically significant differences(P<0.05).Conclusion The wearable fetal ECG monitor is convenient with quick acquisition of monitoring results and no impact from the pregnant woman’s body position,and therefore it is of sound clinical applicat ion value.

关 键 词：胎儿心电监护 多普勒胎心监护 穿戴式 无应激试验 

分 类 号：R714.5[医药卫生—妇产科学]