基于微信平台的远程胎心监护在晚孕期管理中的应用效果观察

Observation on Application Effects of WeChat Platform-Based Remote Fetal Heart Monitoring on Third Trimester Management

目的:探究基于微信平台的远程胎心监护在晚孕期孕妇管理中的应用效果.方法:选取2018年4月至2020年4月本院收治的80例晚孕期孕妇为研究对象.使用随机数字表法将其分为研究组(n=40,实施基于微信平台的远程胎心监护)和对照组(n=40,实施常规胎心监护).比较两组孕妇胎儿胎动、胎心监测结果,新生儿不良结局发生率及两组孕妇干预前、干预4周后不良心理状态[采用状态-特质焦虑量表(STAI)评价].结果:研究组晚孕期胎儿胎动异常、胎心异常、无应激试验(NST)异常检出率高于对照组,差异均有统计学意义(P<0.05).研究组新生儿不良结局发生率显著低于对照组,差异有统计学意义(P<0.05).干预4周后,两组孕妇STAI得分,均较干预前降低,且研究组孕妇低于对照组,差异有统计学意义(P<0.05).结论:基于微信平台的远程胎心监护运用于晚孕期胎儿管理中,能提高胎儿胎动、胎心监测异常结果检出率,能降低新生儿不良结局发生率,并能有效缓解产妇不良心理状态.

Objective:To explore the application effects of WeChat platform-based remote fetal heart monitoring on third trimester management.Methods:Eighty pregnant women admitted to our hospital from April 2018 to April 2020 were selected as the research subjects.They were divided into study group(n=40)and control group(n=40)by using a random number table method.The pregnant women in study group were given WeChat platform-based remote fetal heart monitoring,and the pregnant women in control group were given routine fetal heart monitoring.The results of fetal movement and fetal heart monitoring,the incidence rate of adverse neonatal outcomes,and adverse psychology[evaluated by State-Trait Anxiety Inventory(STAI)] of pregnant women before intervention and after 4 weeks of intervention were compared between the two groups.Results:The detection rates of fetal movement abnormalities,fetal heart abnormalities and non-stress test(NST)abnormalities in study group were higher than those in control group,there were significant differences(P<0.05).The incidence rate of adverse neonatal outcomes in study group was lower than that in control group,there was significant dfferences(P<0.05).After 4 weeks of intervention,the STAI scores of pregnant women in the two groups were lower than those before intervention,and the score in study group was lower than that in control group,there were significant differences(P<0.05).Conclusion:The application of WeChat platform-based remote fetal heart rate monitoring in third trimester management can improve the detection rates of abnormal results of fetal movement and fetal heart rate monitoring,improve adverse neonatal outcomes,and effectively alleviate maternal adverse psychology.