摘要
目的:研究羊水过少孕妇行远程胎儿监护、住院监护及自数胎动的监测效果。方法:根据监护系统不同,将269例羊水过少孕妇分为远程监护组(A组)、住院监护组(B组)和自数胎动组(C组),分别比较3组无应激试验(NST)结果,比较剖宫产率、围生儿结局(胎儿窘迫、羊水Ⅲ度污染、新生儿窒息率)的资料。结果:C组NST反应型、无反应型发生率显著高于A、B两组(P<0.05),A、B两组的差异无显著性(P>0.05)。C组胎儿窘迫、羊水Ⅲ度污染率、新生儿窒息率显著高于A、B两组(P<0.05)。A组剖宫产率(51.0%)显著低于B组(55.1%)和C组(65.3%)(P<0.05)。结论:远程胎儿监护与住院监护同样有效,能减少过早干预,为羊水过少孕妇家庭自我监护提供了一条可行途径。
Objective:To study the monitoring results of long distance fetal heart rate(FHR) monitoring, being in hospital FHR monitoring, and family self-numerating fetal movement in the pregnant women with oligohydramnios. Methods:To divide the 269 pregnant women with oligohydramnios from 2003 to 2006 in our hospital into three groups: long distance FHR monitoring group(A group), being in hospital FHR monitoring group (B group) ,and family self- numorating fetal movement group(C group). Non- stress test( NST, NST divided into reactive pattern, non reactive pattern, combined pattern and abiogenesis drag acceleration), uterine- incision delivery rate,and perinatal outcome (fetal distress, amniotic fluid Ⅲ0 stained and neonate apnoea rate) were analyzed compered among them.Results:The incidence of non - reactive pattern in group C was significantly higher than group A and group B ( P 〈 0.05), but there was no difference between the latter two groups ( P 〉 0.05). The rate of uterine - incision delivery in group A (51.0%) was significantly lower than group B (53.9%) and group C (65.3%) ( P〈 0.05) . The incidences of fetal distress, amniotic fluid Ⅲ° stained,and apnoea neonatorurn in group C were signifi- cantly higher than group A and group B (P〈0.05) .Conclusions:The long distance FHR monitoring is as effective as being in hospital FHR monitoring,can reducing the cost of hospitalization,avoid earlier intervention ,and provide a feasibile pathway for pregnat women with oligohydramuios.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2007年第12期746-748,共3页
Journal of Practical Obstetrics and Gynecology
关键词
远程医学
胎心监护
羊水过少
Telemedicine
Fetal monitoring
Oligohydramnios