远程监护技术在妊娠晚期胎儿监护中应用效果观察.docVIP

远程监护技术在妊娠晚期胎儿监护中应用效果观察 　　【摘要】 目的：观察分析对妊娠晚期胎儿监护采用远程监护技术的应用效果，进一步确定该监护技术临床应用价值。方法：选取广东省阳江市妇幼保健院2014年12月-2015年12月收治的260例妊娠晚期孕妇作为本次研究对象，按照随机数字表法分为对照组和观察组，每组各130例。对照组在家行单纯胎动记数以及到医院行常规胎心监护，观察组在家中对胎儿进行远程监护以及胎动计数，观察并比较两组患者的监护结果以及妊娠结局。结果：观察组新生儿的窒息率为13.1%，中度窒息为12.3%，重度窒息为0.8%；对照组的窒息率为27.7%，中度窒息为22.3%，重度窒息为5.4%，观察组明显低于对照组，两组比较差异有统计学意义（P0.05）。观察组的胎儿监护次数为457次，其中NST异常检出率为33.3%；对照组的胎儿监护次数为173次，其中异常检出率为17.9%，观察组明显高于对照组，两组比较差异有统计学意义（P0.05）。结论：对妊娠晚期胎儿监护采用远程监护技术可使孕妇在家中对胎儿进行良好的监护，方便及时发现问题并对问题进行相应处理，能有效降低新生儿的窒息率。 　　【关键词】 妊娠晚期； 胎儿监护； 远程监护技术 　　【Abstract】 Objective：To observe and analyze the application effect of the remote monitoring technology in the third trimester fetal monitoring， then to determine the clinical application value of this monitoring technology.Method：260 pregnant women in Guangdong province were selected in Yangjiang Maternal and Child Health-Care Station as the research objects from December 2014 to December 2015，according to the random number table method they were divided into control group and observation group，130 cases in each group.The control group underwent fetal movement counting at home and went to the hospital for routine fetal heart monitoring，observation group in the home of fetal remote monitoring and fetal movement counting.The monitoring results and pregnancy outcome of two groups were observed and compared.Result：The observation group of neonatal asphyxia rate was 13.1%，moderate asphyxia was 12.3%，severe asphyxia was 0.8%；the control group of asphyxia rate was 27.7%，moderate asphyxia was 22.3%，severe asphyxia was 5.4%，the differences were statistically significant（P0.05）.The observation group were 457 times of fetal monitoring， the NST abnormal rate was 33.3%；the control group were 173 times of fetal monitoring，the NST abnormal rate was 17.9%， the observation group was significantly higher than the control group，the difference was statistically significant（P0.05）.Conclusion：The third trimester of fetal monitoring using remote monitoring technology