基于母婴健康联动的早产儿数字化管理平台构建与应用评价  

Construction and application evaluation of a digital management platform for preterm infants based on maternal-infant health linkage

作　　者：吴春燕 芮睿 朱文生 陈菊萍 冯智颖 WU Chunyan;RUI Rui;ZHU Wensheng;CHEN Juping;FENG Zhiying(Department of Health Education,Jinhua Maternal and Child Health Care Hospital,Jinhua 321000,China;School of Information Engineering,Hangzhou Medical College,Hangzhou 311300,China)

机构地区：[1]金华市妇幼保健院健康教育科,浙江金华321000 [2]杭州医学院信息工程学院,浙江杭州311300

出　　处：《健康研究》2025年第2期226-230,共5页Health Research

基　　金：2021年度第二批金华市重大(重点)科学技术研究计划项目(2021-3-031);2024年大学生创新训练计划(S202413023090)。

摘　　要：目的构建孕母自主管理与早产儿发育联动的数字化管理系统,通过提升孕妇健康管理能力改善子代健康结局。方法基于智慧妇幼产科电子病历系统与物联网技术,集成孕期风险评估、产前自我管理能力量化、产褥期母婴健康联动及子代远期随访四大功能模块,建立“母体自主管理-子代预后”动态耦合的管理平台。比较平台应用前(对照组)和应用后(观察组)的早产发生情况、孕妇自我管理能力、满意度。结果平台应用后的早产发生率(5.86%)低于应用前(7.45%),差异具有统计学意义(χ^(2)=3.888,P=0.049)。观察组和对照组孕妇的自我管理能力评分为(92.01±12.56)分、(69.91±19.48)分,满意度评分为(97.22±4.84)分、(72.80±17.05)分,2组差异均有统计学意义(均P<0.001)。结论本研究构建的早产儿数字化管理平台可降低早产发生率、改善孕妇自我管理能力。Objective To develop a digital management system integrating maternal self-management with preterm infant developmental outcomes,aiming to improve offspring health by enhancing maternal health management capabilities.Methods Leveraging the smart maternal and child electronic medical record(EMR)system and IoT technology,established a dynamic coupling platform linking“maternal self-management and offspring prognosis”.The platform integrates four functional modules:pregnancy risk assessment,quantitative evaluation of prenatal self-management capacity,maternal-infant health linkage during the postpartum period,and long-term offspring follow-up.Preterm birth rates and maternal outcomes were compared between the pre-implementation(control group)and post-implementation(intervention group)cohorts.Results The preterm birth rate after platform implementation(5.86%)was significantly lower than that before implementation(7.45%),with a statistically significant difference(χ^(2)=3.888,P<0.05).The maternal self-management scores were(92.01±12.56)points in the intervention group and(69.91±19.48)points in the control group,while satisfaction scores were(97.22±4.84)points versus(72.80±17.05)points,respectively.All intergroup differences were statistically significant(all P<0.001).Conclusions The proposed digital preterm infant management platform effectively reduces preterm birth incidence and enhances maternal self-management capacity.

关 键 词：自主管理 早产儿 围产期 健康管理 

分 类 号：R722.6[医药卫生—儿科]