远程胎心监护在孕晚期高危妊娠孕妇中的应用效果分析

Analysis on the Effect of Remote Fetal Cardiac Monitoring in High-Risk Pregnant Women in Late Pregnancy

目的:探讨远程胎心监护在孕晚期高危妊娠孕妇中的应用效果。方法:选取2021年1月—2022年8月泰安市妇幼保健院收治的孕晚期高危妊娠孕妇96例作为研究对象,采用随机数字表法分为对照组与观察组,各48例。对照组实施常规胎心监护,观察组实施远程胎心监护。比较两组孕妇无刺激性试验(NST)检查结果、新生儿结局及新生儿Apgar评分。结果:观察组孕妇NST结果异常率低于对照组,差异有统计学意义(P=0.036);观察组新生儿不良结局总发生率低于对照组,差异有统计学意义(P<0.05);观察组新生儿1、5、10 min Apgar评分高于对照组,差异有统计学意义(P=0.032)。结论:孕晚期高危妊娠孕妇实施远程胎心监护的效果良好,可降低异常胎心率,改善新生儿结局,提升新生儿。

Objective:To explore the effect of remote fetal cardiac monitoring in high-risk pregnant women in late pregnancy.Methods:96 cases of high-risk pregnant women in late pregnancy admitted to Tai'an Maternal and Child Health Hospital from January 2021 to August 2022 were selected as the study subjects,and were divided into the control group and the observation group using the method of randomized numerical table,each of which consisted of 48 cases.The control group implemented conventional fetal heart monitoring,and the observation group implemented remote fetal heart monitoring.The results of non-stimulation test(NST),neonatal outcome and neonatal Apgar score were compared between the two groups.Results:The abnormality rate of NST of pregnant women in the observation group was lower than that of the control group,and the difference was statistically significant(P=0.036);the total incidence of adverse neonatal outcomes in the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05);and the neonatal Apgar scores in the 1st,5th and 10th min in the observation group were higher than those of the control group,and the difference was statistically significant(P=0.032).Conclusion:The implementation of remote fetal heart monitoring in high-risk pregnant women in late pregnancy is effective in reducing the rate of abnormal fetal heart rate,improving neonatal outcomes and enhancing neonates.