摘要
目的探讨远程电子胎心监护在妊娠晚期孕妇中的应用效果。方法选取2020年1月至6月昆明市第一人民医院收治的100例妊娠晚期孕妇,按照随机数字表法将其分为对照组(50例)与观察组(50例),对照组采用传统床旁胎儿电子监护作为研究对象,观察组采用远程胎儿电子监护(EFM),比较两组患者的胎心监护异常结果(羊水异常、胎动异常、脐带异常)、妊娠结局、分娩方式及产妇的总体健康评分。结果观察组的羊水异常、胎动异常、脐带异常发生率均低于对照组,差异有统计学意义(P<0.05);两组患者发生胎儿窘迫及产褥感染率比较,差异无统计学意义(P>0.05),观察组早产儿及剖宫产率低于对照组,自然分娩率高于对照组,差异有统计学意义(P<0.05)。干预前,两组的总体健康评分比较,差异无统计学意义(P>0.05),干预后,两组的总体健康评分均高于干预前,且观察组的总体健康评分高于对照组,差异有统计学意义(P<0.05)。结论远程电子胎心监护应用于妊娠晚期孕妇中通过提高足月产及自然分娩的比例,降低剖宫产及早产儿的发生,从而提高妊娠晚期孕妇的生活质量。
Objective To explore the effect of remote electronic fetal heart rate monitoring in pregnant women in the third trimester of pregnancy.Methods A total of 100 pregnant women in the third trimester of pregnancy admitted to the First Hospital of Kunming from January 2020 to June 2020 were selected.They were divided into a control group(50 cases)and an observation group(50 cases)according to the random number table method.The control group used traditional bedside electronic fetal monitoring,and the observation group used remote electronic fetal monitoring(EFM).The abnormal results of fetal heart rate monitoring(abnormal amniotic fluid,abnormal fetal movement,and abnormal umbilical cord),pregnancy outcomes,delivery methods and overall maternal health scores of the two groups were compared.Results The incidence rates of abnormal amniotic fluid,fetal movement and umbilical cord in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).There were no statistical differences in the rates of fetal distress and puerperal infection between the two groups(P>0.05).The rates of premature infants and cesarean section in the observation group were lower than those of the control group,and the rate of natural delivery was higher than that of the control group,and the differences were statistically significant(P<0.05).Before intervention,there was no statistically significant difference in the overall health scores of the two groups(P>0.05).After intervention,the overall health scores of the two groups were higher than those before intervention,and the overall health scores of the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion Application of remote electronic fetal heart rate monitoring to pregnant women in the third trimester can reduce the occurrence of cesarean section and premature infants by increasing the ratio of full-term delivery and natural delivery,thereby improving the quality of life of pregnant women in the third trimester.
作者
黄雅
彭静
李燕茹
罗先梅
HUANG Ya;PENG Jing;LI Yanru;LUO Xianmei(Department of Obstetrics,the First Hospital of Kunming,Yunnan Province,Kunming650011,China)
出处
《中国当代医药》
CAS
2022年第2期106-108,共3页
China Modern Medicine
基金
云南省昆明市卫生健康委员会卫生科研课题项目(2017-SW(后备)-70)。
关键词
远程电子胎心监护
妊娠晚期
新生儿结局
胎儿
Remote electronic fetal heart rate monitoring
Third trimester
Neonatal outcome
Fetus
