互联网远程胎儿监护对高危妊娠的临床意义研究

The clinical application of internet based remote fetal heart rate monitoring on the high-risk pregnancy

目的探讨互联网远程胎心监护在高危妊娠管理的临床应用及意义。方法选取高危妊娠、孕周满32周孕妇160例,其中80例作为实验组,使用互联网远程胎心监测仪进行无激惹实验(NST);随机选取同期高危孕妇80例作为对照组,使用传统胎心监护仪进行NST检查。分析比较两组的胎心监护的NST监测结果、分娩方式及围产儿结局是否存在差异。结果实验组胎心监护异常检出率46.25%,对照组异常检出率为28.75%,差异有统计学意义(P<0.05)。两组分娩方式比较,差异无统计学意义。实验组新生儿窒息率、早产儿发生率低于对照组,差异有统计学意义(P<0.05)。结论互联网远程胎儿监护可使高危妊娠孕妇在家中得到良好的胎心监测,改善围产儿预后,具有的临床应用价值。

Objective To explore the clinical applicationof internet basedfetal heart rate monitoring on high risk pregnancy.Methods A total of160 pregnant women who diagnosed with high-risk pregnancies in our hospital obstetric were enrolled in this study.Eighty of them underwent of long distance fetal heart rate monitoring were selected as experimental group.Another 80 pregnant women with routine fetal monitoring were selected as control group.The fetal heart rate monitoring results(NST,Non-stress test result),the delivery mode and perinatal prognosis were analized and compared between two groups.Results The abnormal detection rate of fetal heart rate monitoring of experimental group was 46.25%,The abnormal detection rate of fetal heart rate monitoring of control group was 28.75%.The difference was statistically significant(P<0.05).While the deference of the delivery between the two groups was not statistically significant.The incidence of neonatal asphyxia and premature infants in the experimental group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Remote fetal monitoring can make high-risk pregnant women to get a good fetal heart rate monitoringat home,improve perinatal prognosis,has a certain clinical value.