计算机在产时胎儿电子监护中的应用

Application of Computer in the Management of Intrapartum Fetal Electronic Monitoring

目的：探讨计算机在产时胎儿电子监护中的应用。方法：采用计算机与胎儿电子监护仪连结起来，对６８ 例胎儿的宫缩波与胎心率扫描，预测分析胎儿宫内窘迫的发生，与产后脐血ｐＨ结果对照。结果：计算机能连续准确记录和显示分娩过程的宫缩信号和胎心率信号，计算机的分析比传统胎儿电子监护仪的分析更接近产后实际情况， Ｐ＜ ０．０５。结论：采用本系统能有效地贮存宫缩波及胎心率，便于实时分析和进一步回顾性分析，减少人为误差，减轻医务人员的工作量，临床有一定的应用价值。

Objective: To study the application of computer in the management of intrapartum fetal electronic monitoring. Methods: To scan the uterine contractive wave and fetal heart rate of 68 cases by connecting the computer and fetal electronic monitor. To predict the fetal hypoxia in uterus by the analysis of scan data, and compare with the umbilical blood pH. Results: This system could record and showed the signals of the uterine contraction and fetal heart rate continuously and accurately during the course of labour. Analysis of computer was better than fetal electronic monitor, P<0 05. Conclusion: This system can store uterine contraction wave and fetal heart rate effectively. It is convenient for real time analysis and retrospective analysis, and it can reduce artificial error and alleviate the load of obstetrician. There is some value in clinical work.