远程胎儿监护用于妊娠期糖尿病的产前监测

Remote fetal monitoring for gestational diabetes mellitus

目的探讨远程胎儿监护网络在妊娠期糖尿病(GDM)产前监测的临床价值。方法采用远程胎儿监护网络,对50例GDM孕妇进行产前无负荷试验(NST)监测(试验组),同期随机选择常规胎动计数和定期到医院进行NST检查的GDM孕妇50例作为对照(对照组),分析两组胎儿监护结果和妊娠结局。结果试验组NST异常率(34.6%)较对照组(25.5%)显著增加(P<0.05)。试验组(9.58±0.77)新生儿Apgar评分高于对照组(8.70±1.23)(P<0.05)。试验组新生儿窒息和早产儿的发生率分别为12.0%和8.0%,低于对照组的24.0%和22.0%(P<0.05)。两组剖宫产率的差异无显著性(P>0.05)。结论利用远程胎儿监护进行GDM产前监测,可改善围产儿预后,是GDM孕妇自我监护的新选择。

Objective To investigate the clinical value of remote fetal monitoring network in the antepartum management of gestational diabetes mellitus (GDM). Methods Non-stress test (NST) was preformed in 50 GDM cases by remote electronic fetal monitoring network (test group), and another 50 monitored by daily fetal movement counting and regular NST check-up in hospital served as the control group. Abnormal NST and perinatal outcome were compared between the two groups. Results The incidence of abnormal NST was significantly higher in the test group than in the control group (34.6% and 25.5%, P<0.05), as with Apgar scores of the neonates between the two groups (9.58±0.77 vs 8.70±1.23, P<0.01). The incidences of neonatal asphyxia (12.0%) and preterm birth (8.0%) in the test group were lower than those in the control group (24.0% and 22.0%, respectively, P<0.05). There was no significant difference in the rate of cesarean section between the two groups (P>0.05). Conclusion Remote fetal monitoring network can be used to improve perinatal outcome of GDM, and offers a new option of self-monitoring means for pregnant women with GDM.