产前胎儿监测和评估方法临床应用再思考  

prenatal fetal intrauterine monitoring and assessment methods

作　　者：陈练[1] 魏瑗[1] CHEN Lian;WEI Yuan(Department of Obstetrics and Gynecology,Peking University Third Hospital,National Clinical Research Center for Obstetrics and Gynecology(Peking University Third Hospital),National Center for Healthcare Quality Management in Obstetrics,Beijing 100191,China)

机构地区：[1]北京大学第三医院妇产科、国家妇产疾病临床医学研究中心、国家产科专业医疗质量控制中心,北京100191

出　　处：《中国实用妇科与产科杂志》2024年第8期797-801,共5页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：国家重点研发计划(2023YFC2705900)。

摘　　要：产前胎儿监测评估的主要目的是降低死胎率,及时干预高风险胎儿以减少不良产科结局的发生。目前的方法包括胎动计数、电子胎心监护和超声检查,尽管这些方法被广泛应用,但其有效性缺乏高级别证据。因此,需要重新思考这些监测方法的临床意义和有效性,以指导其合理使用。文章阐述了产前胎儿监测各种方法及其有效性的相关证据,以期为临床实践提供依据。The main objective of antepartum fetal monitoring and assessment is to reduce stillbirth rates and intervene promptly with high-risk fetuses to minimize adverse obstetric outcomes.Current methods include fetal movement counts,electronic fetal heart monitoring,and ultrasound examinations.Despite their widespread application,there is a lack of evidence regarding their effectiveness in improving outcomes.Therefore,there is a need to reassess the clinical significance and effectiveness of these monitoring methods to guide their appropriate use.This article provides an overview of various methods and their evidence of effectiveness,aiming to provide evidence for clinical practice.

关 键 词：产前胎儿监测 胎动计数 胎心监护 多普勒血流测定 

分 类 号：R714.5[医药卫生—妇产科学]