远程电子胎心监护在妊娠晚期孕妇中的应用效果  

Application effect of remote electronic fetal monitoring in pregnant women in late pregnancy

作　　者：何丹 彭淑娟 蒋希貌 HE Dan;PENG Shujuan;JIANG Ximao(Department of Maternal Health,Jingdezhen Maternal and Child Health Hospital,Jingdezhen,Jiangxi,333000,China)

机构地区：[1]景德镇市妇幼保健院孕产保健科,江西景德镇333000

出　　处：《当代医学》2024年第36期55-59,共5页Contemporary Medicine

摘　　要：目的探讨远程电子胎心监护(electronic fetal monitoring,EFM)在妊娠晚期孕妇中的应用效果。方法选取2019年1月至2022年1月于景德镇市妇幼保健院建档并产检80名晚期妊娠孕妇作为研究对象,随机分为对照组与观察组,每组40名。对照组给予常规EFM,观察组给予远程EFM。比较两组不良情绪[焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)]、异常胎心发生情况、无应激试验(non-stress test,NST)异常检出情况及生命质量[生理功能(physiological function,PF)、生理职能(role-physical,RP)、躯体疼痛(bodily pain,BP)、总体健康(general health,GH)、活力(vitality,VT)、社会功能(social functioning,SF)、情感职能(roleemotional,RE)、精神健康(mental health,MH)]。结果监护后,观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。观察组胎儿脐带异常、胎动异常、羊水异常检出率均低于对照组,差异有统计学意义(P<0.05)。观察组NST异常检出率低于对照组,差异有统计学意义(P<0.05)。监护后,观察组PF、RP、BP、GH、VT、SF、RE及MH评分均高于对照组,差异有统计学意义(P<0.05)。结论远程EFM监测胎儿的胎心变化,能更加精准地分析胎儿异常变化并及时给予针对性指导,有利于改善孕妇不良情绪,提高NST异常检出率,改善孕妇生命质量,值得临床推广应用。Objective To explore the application effect of remote electronic fetal monitoring(EFM)in pregnant women in late pregnancy.Methods 80 pregnant women with late pregnancy who were registered and examined in Jingdezhen Maternal and Child Health Hospital from January 2019 to January 2022 were selected as the study subjects,and they were randomly divided into the control group and the observation group,with 40 cases in each group.The control group was given conventional EFM,and the observation group was given remote EFM.The negative emotions(self-rating anxiety scale[SAS]and self rating depression scale[SDS]),occurrence of abnormal fetal heart rate,detection of non-stress test(NST)abnormalities and quality of life(physiological function[PF],role-physical[RP],bodily pain[BP],general health[GH],vitality[VT],social functioning[SF],role-emotional[RE],mental health[MH])were compared between the two groups.Results After monitoring,the SAS and SDS scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The detection rates of umbilical cord abnormalities,fetal movement abnormalities and amniotic fluid abnormalities in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The abnormal detection rate of NST in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After monitoring,the PF,RP,BP,GH,VT,SF,RE and MH scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Remto EFM monitoring of fetal heart rate changes can more accurately analyze fetal abnormal changes and provide timely guidance,which is beneficial for improving pregnant women's negative emotions,reduce the abnormal detection rate of NST,and improve the quality of life,it is worthy of clinical promotion and application.

关 键 词：妊娠晚期孕妇 远程电子胎心监护 不良情绪 胎心异常 

分 类 号：R71[医药卫生—妇产科学]