远程胎心监护服务的临床应用价值及影响因素分析

Investigation and analysis of clinical application value of remote fetal heart rate monitoring service

目的探讨远程胎心监护服务的临床应用价值及影响因素。方法选取2019年6月—2020年6月,在山西省人民医院、山西医科大学第二医院、山西省妇幼保健院、太原市妇幼保健院及中铁十七局医院接受远程胎心监护与传统胎心监护服务的孕产妇2000例为研究对象。分析孕产妇选择远程胎心监护服务的原因和影响因素,比较接受传统胎心监护的孕产妇和接受远程胎心监护孕产妇的妊娠结局。结果年龄、月人均收入、职业、怀孕次数及是否使用孕酮保胎是孕产妇使用远程胎心监护服务的影响因素(P<0.05)。选择远程胎心监护服务的孕产妇经阴道分娩率高于选择传统胎心监护服务的孕产妇,产后出血率和围生儿结局异常情况的发生率均低于选择传统胎心监护服务的孕产妇,差异均有统计学意义(χ^(2)=5.013、196.854、64.545,均P<0.05)。高龄孕妇、高危孕产妇及有妊娠合并症等异常情况的孕妇更倾向于使用远程胎心监护。结论使用远程胎心监护可以保障高危孕产妇妊娠安全;能有效降低孕产妇不良妊娠结局的发生率;特别是在新冠疫情防控常态化和特殊时期下,使用远程胎心监护具有重要的临床、保健价值。

Objective Compared with the traditional fetal heart rate monitoring service,to study the clinical application value of remote fetal heart rate monitoring service.Methods From June 2019 to June 2020,2000 pregnant and lying in women receiving remote fetal heart rate monitoring and traditional fetal heart rate monitoring services in Shanxi Provincial People's Hospital,the second hospital of Shanxi Medical University,Shanxi maternal and child health care hospital,Taiyuan maternal and child health care hospital and China Railway 17th Bureau hospital were selected as the research objects.Objective to study the reasons and influencing factors of pregnant women choosing remote fetal heart rate monitoring service,and compare the pregnancy outcomes of pregnant women receiving traditional fetal heart rate monitoring and remote fetal heart rate monitoring.Results Age,monthly per capita income,occupation,the number of pregnancies and whether to protect the fetus with progesterone were the influencing factors of maternal use of remote fetal heart monitoring service(P<0.05).The vaginal delivery rate of the pregnant women who chose the remote fetal heart rate monitoring service was higher than that of the pregnant women who chose the traditional fetal heart rate monitoring service,postpartum hemorrhage rate and the incidence of abnormal perinatal outcomes were lower than those of the pregnant women who chose the traditional fetal heart rate monitoring service,the differences were statistically significant(χ^(2)=5.013,196.854,64.515,all P<0.05).The elderly pregnant women,high-risk pregnant women,pregnant women with pregnancy complications and other abnormal conditions were more likely to use remote fetal heart rate monitoring.Conclusion The use of remote fetal heart monitoring can ensure the safety of high-risk pregnant women,effectively improve the pregnancy outcome of pregnant women,and reduce the incidence of adverse pregnancy outcomes.Especially in the normalization and special period of COVID-19 prevention and control,the use of remote fetal heart monitoring has important clinical and health value.