远程胎心监护在新型冠状病毒肺炎疫情期间的应用

Application of remote fetal heart rate monitoring during the pandemic of COVID-19

目的:探索远程胎心监护在新型冠状病毒肺炎疫情期间的应用。方法:对比使用远程胎心监护的孕妇与遵医嘱进行针对疫情的常规产检的孕妇在剖宫产率、新生儿窒息发生率、自行就医次数及假阳性率以及焦虑程度的差异。结果:使用远程胎心监护的孕妇,在剖宫产率以及新生儿窒息发生率上与对照组孕妇没有统计学差异(P>0.05);但自行就医次数与假阳性发生率均优于对照组孕妇(P<0.01);相比使用远程胎心监护孕妇,对照组孕妇更容易焦虑(P<0.01)。结论:远程胎心监护由于突破了空间限制,适合作为在疫情期间作为医院产检的有效补充,具有较强的推广价值。

Objective: To explore the application of remote fetal heart rate monitoring during the pandemic of COVID-19. Methods: The rate of cesarean section, the incidence of neonatal asphyxia, the times of self-care, the false positive rate, and the degree of anxiety were compared between the remote fetal heart rate monitoring group and control group. Results: There was no significant difference in cesarean section rate and neonatal asphyxia rate between the two groups(P>0. 05). The frequency of self-care and the incidence of false positive in the remote fetal heart monitoring group were better than in control group(P<0. 01). Compared with the remote fetal heart rate monitoring group, the control group were more likely to be anxious(P<0. 01). Conclusion: Remote fetal heart rate monitoring is suitable as an effective supplement for hospital prenatal examination during the epidemic period, and it has good application prospects.