摘要
目的 探讨远程胎儿心率监护网络作为高危妊娠围生期孕妇家庭自我监护方法的临床应用价值。方法 2 0 0 1年 1月至 2 0 0 4年 7月深圳市第二人民医院选择 1 36例高危妊娠孕妇 ,采用远程胎儿心率监护网络进行无负荷试验 (NST)监测 (研究组 ) ,选择同期进行常规胎儿心率监护的高危孕妇 1 4 0例作为对照 (对照组 ) ,分析两组胎儿心率监护的监测结果和围生儿结局。结果 研究组NST异常检出率 (36 6 %)较对照组 (2 8 3%)明显增高 (P <0 0 5 )。研究组NST异常图形为变异减速、基线变异减少或胎儿心率 (FHR)过缓 ,与对照组比较 ,差异均有显著性 (P <0 0 5 )。研究组新生儿窒息和早产儿的发生率低于对照组 (P <0 0 5 )。两组剖宫产率的差异无显著性 (P >0 0 5 )。结论 应用远程胎儿心率监护网络进行高危妊娠的监测 ,可改善围生儿预后 ,是高危妊娠孕妇自我监护的新选择。
Objective To investigate the clinical value of the remote electronic fetal monitoring network in the application to self-monitoring the high-risk pregnancy at home in peripartum .Methods Non-stress test (NST) was carried on in 136 cases of high-risk pregnancy by remote electronic fetal monitoring network(study group)in the Second Municipal People ,s Hospital of Shenzhen between January 2001 and July 2004.One hundred and forty cases of high-risk pregnancy who served as control group were monitored by fetal movement counting daily and regular NST check-up in hospital.Abnormal NST and perinatal outcome were compared between the study and control groups. Results The incidence of abnormal NST was significantly higher in the study group than that in the control group (36.6% vs 28.3%,P<0.05).There was significant difference in the incidence of variable deceleration, diminished baseline variability or absent variability and bradycardia between the study and control group (P<0.05).The incidence of preterm birth and neonatal asphyxia in the study group was lower than those in the control (P<0.05).There was no significant difference in the rate of cesarean section between the study and control group(P>0.05). Conclusions Remote fetal monitoring network can be used to improve petrinatal outcome of high-risk pregnancy.It is a new method for FHR self-monitoring for high-risk pregnancy.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2005年第2期103-105,共3页
Chinese Journal of Practical Gynecology and Obstetrics
