远程胎儿监护在高危妊娠产前监测中的应用价值

CLINICAL VALUE OF REMOTE FETAL MONITORING NETWORK IN HIGH-RISK PREGNANCY

①目的 探讨远程胎儿监护网络在高危妊娠产前监护中的临床应用价值。②方法 采用远程胎儿监护网络 ,对 5 0例高危孕妇进行产前无负荷试验 (NST)监护 (试验组 ) ,同期随机选择常规胎动计数和定期到医院进行NST检查的高危孕妇 5 0例作为对照组 ,分析两组胎儿监护结果和妊娠结局。③结果 试验组NST异常率为30 .3% ,较对照组的 2 1.7%明显增加 (χ2 =16 .4 8,P <0 .0 1)。新生儿Apgar评分试验组明显高于对照组 (t=2 .2 4 ,P <0 .0 5 )。试验组新生儿窒息和早产儿的发生率显著低于对照组 (χ2 =10 .6 9、17.2 4 ,P <0 .0 1)。两组剖宫产率差异无显著性 (χ2 =1.87,P >0 .0 5 )。④结论 利用远程胎儿监护网络进行高危妊娠产前监护 ,可改善围生儿预后 。

Objective To investigate the clinical value of remote electronic fetal monitoring network in high-risk pregnancy. Methods Non-stress test(NST) was performed in 50 cases of high-risk pregnancy by remote fetal monitoring network(test group). Another 50 cases(control group) were randomly selected and monitored by daily fetal movement counting and routine NST check-up. Abnormal NST and perinatal outcomes were compared between the two groups. Results The incidence of abnormal NST was significantly higher in the test group than in the control group(χ 2=16.48, P<0.01). There was significant difference in Apgar of the neonatus between the two groups(t=2.24,P<0.05). The incidence of neonatal asphyxia and preterm birth in the test group was lower than in the control group (χ 2=10.69,17.24;P<0.01). The difference of the cesarean section rate between the two groups was not significant (χ 2=1.87,P>0.05). Conclusion Remote fetal monitoring network can be used to improve perinatal outcomes of high-risk pregnancy, and is a new self-monitoring method for the high-risk gravida.