广州市花都区孕晚期远程胎心监护研究

Study on remote monitoring of fetal heart in late pregnancy in Huadu District of Guangzhou

目的探讨孕晚期远程胎心监护在产科的临床应用及其使用价值。方法选取2016年1月至2017年6月在我院诊断为妊娠的孕妇204例,随机分为研究组101例和对照组103例,均在妊娠35w。对照组进行常规胎心监护,实验组进行远程胎心监护。分析比较两组的监测结果、分娩方式及围产儿结局。结果研究组NST图形异常监测次数检出率44.82%较对照组高,差异具有统计学意义(P<0.05)。研究组的基线异常图形检出率26.01%,明显高于对照组,差异具有统计学意义(P<0.05),研究组无反应型检出率高于对照组,差异具有统计学意义(P<0.05)。两组孕妇分娩方式比较,差异无统计学意义(P>0.05),研究组羊水污染、新生儿窒息、低体重儿的发生率均低于对照组,差异具有统计学意义(P<0.05)。而早产的发生率两组无明显区别(P>0.05)。结论远程胎心监护具有很好的临床价值,有助于提高宫内诊断,降低新生儿不良结局发生率,应该被广泛使用。

Objective To explore the clinical application and value of remote monitoring of fetal heart in late pregnancy in obstetrics and gynecology. Methods From January 2016 to June 2017, 204 pregnant women in the gestational age range of 35 weeks in our hospital were randomly divided into study group（n=101）and control group（n =103）. Routine monitoring of fetal heart was used in control group and remote monitoring of fetal heart was used in study group. The monitoring results, mode of delivery and perinatal outcome in the two groups were analyzed. Results The detection rate of NST abnormalities in the study group was 44.82% ,higher than that in the control group,the difference was statistically significant（P〈0.05）. The detection rate of the baseline abnormal pattern was 26.01% in study group, which was significantly higher than that of the control group（P〈0.05）. The detection rate of the nonresponders in the study group was higher than that in the control group, the difference was statistically significant（P〈0.05）. There was no significant difference in the mode of delivery between the two groups（P ~0.05）. The incidence of amniotic fluid pollution,neonatal asphyxia and low birth weight infants in the study group were lower than those in lhe control group, the difference was statistically significant（P〈0.05）. The incidence of preterm birth was not significantly different between the two groups（P〉0.05）. Conclusion Remote fetal heart rate monitoring has a good clinical value,can help to improve intrauterine diagnosis and reduce the incidence of adverse outcomes of newborns, should he widely used.