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电话远程胎儿监护系统的临床应用 |
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潘俊峰 叶美美 杜晓燕 于波 马玉琴 吕丽 蔡敏茹
摘 要：目的 评价电话远程胎儿监护系统的临床应用价值，探索孕妇家庭自我监护的新途径。方法 将204例妊娠合并贫血、糖尿病、溶血、肾脏疾病、胎儿宫内发育迟缓、妊高征的孕妇，分为试验组（97例）和对照组（107例）。试验组以电话远程胎儿监护系统结合胎动计数进行自我监护，要求每天至少听取胎心率3次，当孕妇感到异常时，立即通过电话远程胎儿监护系统终端将胎心音及胎动信号传至监护中心，监护中心对信号进行分析、记录，描记成胎心率曲线并打印结果，医生根据该结果判断并作出进一步处理。对照组单纯以胎动计数为自我监护方式。结果 两组分娩孕周、新生儿体重均无显著差异；试验组无负荷实验（NST）异常检出率较对照组显著升高；试验组新生儿Apgar评分明显高于对照组；新生儿窒息发生率明显低于对照组。结论 电话远程胎儿监护系统是一种有效、敏感和实用的孕妇家庭自我监护的方法，广泛应用将有可能减少胎儿窘迫、脑损伤、围产期死亡的发生率，进一步提高围产期质量。
关键词：心率，胎儿；胎儿监测；胎儿窘迫；电话
Clinical Experience of Long-distance Electronic Fetal Heart Rate Monitoring System by Telephone
PAN Junfeng
(Department of Obstetrics and Gynecology, Beijing General Railway Hospital, Beijing 100038, China)
YE Meimei
(Department of Obstetrics and Gynecology, Beijing General Railway Hospital, Beijing 100038, China)
DU Xiaoyan
(Department of Obstetrics and Gynecology, Beijing General Railway Hospital, Beijing 100038, China)
Abstract：Objective To explore the value of the long-distance electronic fetal heart rate monitoring system by telephone and explore a new way of self-monitoring at home for pregnant woman. Method 204 high risk pregnant women came to our clinic were enrolled in this study. Complications included pregnancy induced hypertension (PIH), intrauterine growth retardation (IUGR), anemia, diabetes, hemolysis, nephropathy. In the study group, 97 women took the terminal part of the fetal heart rate monitoring system home and were requested to auscultate and count fetal heart rate three times a day, while another 107 cases did the self monitoring by fetal movement counting daily and served as control group. For the study group, whenever woman felt any abnormality of her baby, she could contact the long-distance electronic fetal heart rate (FHR) monitoring center in hospital by telephone immediately. The signal of fetal heart beat and fetal movement was converted and analyzed in the electronic FHR monitor[1] [2] [3] 下一页
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