对高海拔地区孕妇实施电话远程胎儿监护的作用

The Telnet monitoring of The Fetal at High Altitude

目的 :电话远程胎儿监护系统对海拔 2 6 0 0m的地区孕妇实施自我监护的效果、评价 ,探索电话远程胎儿监护系统孕妇家庭自我监护的新途径。方法 :将 2 75例高危妊娠及B超提示脐带因素的孕妇随机分为试验组和对照组 ,试验组以电话远程胎儿监护系统结合胎动计数进行自我监护。对照组单纯以胎动计数为自我监护方式。结果 :试验组无负荷实验 (NST)异常检出率较对照组显著升高 ;试验组新生儿Apgar评分明显高于对照组 ;新生儿窒息发生率 ,尤其重度窒息发生率明显低于对照组 ;两组分娩孕周、新生儿体重差别均无显著性。结论 :电话远程胎儿监护系统是一种可靠、敏感、有效和实用的孕妇家庭自我监护的方法 ,尤其是在高寒、缺氧地区 ,脐带绕颈发生率高 ,可减少胎儿宫内窘迫、围产期死亡的发生率 。

Objective: To evaluate the effects of telnet monitoring of the fetal at high altitude. Methods: A total of 275 cases with high risk pregnancy or/and abnormal umbilical cord were designed in the test group, in which the fetal monitoring and fetal movement were performed by the telnet monitoring system, and the control group in which the fetal movement was recorded only. Result: The NST abnormal detective rate and the Apgar mark was significantly higher in the test group than that in the control; contrary the natal asphyxia rate. Conclusion: The telnet fetal monitoring in family was a way of safe, acuity, less complication at high altitude.