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1、电话远程胎儿监护系统的临床应用屮华妇产科朵志2(X)0年第1期第35卷胎儿监护作者:潘俊峰叶美美杜晓燕丁波马玉琴R丽蔡敏茹单位:潘俊峰(北京铁路总医院妇产科100038);叶美美(北京铁路总医院妇产科100038);杜晓燕(北京铁路总医院妇产科100038);于波(北京铁路总医院妇产科100038);马玉琴(北京铁路总保院妇产科100038);吕丽(北京铁路总保院妇产科100038);蔡墩茹(北京铁路总医院妇产科100038)关键词:心率;胎儿;胎儿监测;胎儿窘迫;电话摘耍:目的评价电话远程胎儿监护系统的临
2、床应用价值,探索孕妇家庭口我监护的新途径。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)和对照纽(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。结果两纽分娩孕周、新生儿体重均无显著差异;试验组无
3、负荷实验(NST)异常检出率较对照纽显著升髙;试验组新生儿Apgar评分明显高于对照纽;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,广泛应用将有对能减少胎儿窘迫、脑损伤、围产期死亡的发生率,进一步提高围产期质量。ClinicalExperienceofLong-distanceElectronicFetalHeartRateMonitoringSystembyTelephonePANJunfeng(DepartmentofObstetricsand
4、Gynecology,BeijingGeneralRailwayHospital,Beijing100038,China)YEMeimei(DepartmentofObstetricsandGynecology,BeijingGeneralRailwayHospital,Beijing100038,China)DUXiaoyan(DepartmentofObstetricsandGynecology,BeijingGeneralRailwayHospital,Beijing100038,China)Abst
5、ract:ObjectiveToexplorethevalueofthelong-distanceelectronicfetalheartratemonitoringsystembytelephoneandexploreanewwayofself-monitoringathomeforpregnantwoman.Method204highriskpregnantwomencametoourclinicwereenrolledinthisstudy.Complicationsincludedpregnancy
6、inducedhypertension(PIH),intrauterinegrowthretardation(IUGR),anemia,diabetes,hemolysis,nephropathy.Inthestudygroup,97womentooktheterminalpartofthefetalheartratemonitoringsystemhomeandwererequestedtoauscultateandcountfetalheartratethreetimesaday,whileanothe
7、r107casesdidtheselfmonitoringbyfetalmovementcountingdailyandservedascontrolgroup.Forthestudygroup,wheneverwomanfeltanyabnormalityofherbaby,shecouldcontactthelong-distanceelectronicfetalheartrate(FHR)monitoringcenterinhospitalbytelephoneimmediately.Thesigna
8、loffetalheartbeatandfetalmovementwasconvertedandanalyzedintheelectronicFHRmonitoringcenterbycomputeratthesametime.Thefetalheartratecurvewasprintedout,anddiagnosisandmanagementcouldbemade.Age,gestationalweeks,