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中心电子监护系统的临床应用 |
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郭晓辉 徐宏里 谢康云 胡小良
摘 要：目的 探讨使用中心电子监护系统(central electronic monitoring system, CEMS)对提高产科质量的作用。方法 对1997年11月至1998年3月在我院分娩的孕周≥37周的1 216例孕妇(监测组)进行CEMS监护，并与1996年11月至1997年3月在我院分娩的孕周≥37周、未行CEMS监护的1 137例孕妇(对照组) 进行比较，分析两组胎儿窘迫发生率、新生儿窒息发生率、剖宫产率和阴道手术产率。结果 对照组与监测组胎儿窘迫发生率分别为9.8%、12.8%；新生儿窒息发生率分别为4.8%、2.3%；剖宫产率和阴道手术产率分别为36.3%、37.8%和4.4%、4.4%。结论 使用CEMS实现了分娩过程中的部分数据计算机管理，不增加手术产率，新生儿窒息率明显下降。
关键词：诊断，计算机辅助；心分娩力描记法；胎儿窘迫；新生儿窒息；剖宫产术
Clinical Use of Central Electronic Monitoring System
GUO Xiaohui
(Department of Obstetrics and Gynecology, Shenzhen People′s Hospital, Shenzhen 518020, China)
XU Hongli
(Department of Obstetrics and Gynecology, Shenzhen People′s Hospital, Shenzhen 518020, China)
XIE Kangyun
(Department of Obstetrics and Gynecology, Shenzhen People′s Hospital, Shenzhen 518020, China)
Abstract：Objective To evaluate the effects of central electronic monitoring system (CEMS). Methods A total of 1 216 patients with ≥37 weeks of gestation assigned as monitoring group, were performed central electronic monitoring during labor from Nov.1997 to Mar.1998. A total of 1 137 patients with same gestational age assigned as control group, were monitored by using intermittent auscultation during labor from Nov. 1996 to Mar. 1997. The rate of fetal distress, neonatal asphyxia, cesarean section, and using of forceps or vacuum extractor in the 2 groups were compared. Results Patients in the monitoring group had a higher fetal distress rate (12.8%) than that of the control group (9.8%, P<0.05), but a significantly lower neonatal asphyxia rate (2.3%) than that of the control group (4.8%, P<0.01). There were no significant differences in the overall cesarean rate, cesarean rate for fetal distress, overall use rate of forceps or vacuum extractor delivery, and vaginal operative delivery rate for suspected fetal distress between the two groups (P>0.05). Conclusion Qualit[1] [2] [3] 下一页
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