摘要
目的评估互联网背景下实施远程胎心监护干预运用于孕晚期高危妊娠孕妇中的价值。方法选取2018年1月至2019年12月江苏省常州市妇幼保健院就诊的120例孕晚期高危妊娠孕妇为研究对象,随机数字表法分为两组,各60例,试验组实施远程胎心监护干预方法,对照组选取常规胎心监护干预方法,研究胎心不正常检出率、胎动不正常检出率、无刺激性实验结果不正常检出率、阴道分娩率、阴道助产率、剖宫产率、胎儿早产率、胎儿窘迫率、胎儿被羊水粪染率、新生儿窒息率。结果试验组胎心不正常检出率51.67%、胎动不正常检出率50.00%、无刺激性实验结果不正常检出率20.00%,高于对照组33.33%、26.67%、6.67%,差异有统计学意义(χ2=4.126、6.909、4.615,P=0.042、0.008、0.031);试验组阴道分娩率53.33%、阴道助产率8.33%、剖宫产率38.33%与对照组48.33%、6.67%、45.00%比较,差异无统计学意义(χ2=0.300、0.120、0.548,P=0.583、0.728、0.458);试验组胎儿早产率3.33%、胎儿宫内窘迫率1.67%、胎儿被羊水粪染率1.67%、新生儿窒息率5.00%,低于对照组15.00%、11.67%、11.67%、16.67%,差异有统计学意义(χ2=4.904、4.821、4.821、4.227,P=0.026、0.028、0.028、0.039)。结论为孕晚期高危妊娠孕妇实施远程胎心监护,可有效监测胎儿状况,为后期妊娠提供依据,干预效果良好。
Objective To evaluate the application of remote fetal heart monitoring intervention in the third trimester of high-risk pregnancy under the background of Internet.Methods A total of 120 pregnant women with high-risk pregnancy in the third trimester who visited Maternal and Child Health Hospital of Changzhou City from January 2018 to December 2019 were selected as the research objects.They were divided into two groups by random number table method,with 60 cases in each group.The experimental group implemented remote fetal heart monitoring intervention method,while the control group chose conventional fetal heart monitoring intervention method.The detection rate of abnormal fetal heart rate,abnormal fetal movement,abnormal detection rate of non-irritant test results,vaginal delivery rate,vaginal assisted rate,cesarean section rate,fetal premature delivery rate,fetal distress rate,fetal amniotic fluid fecal staining rate,neonatal asphyxia rate were studied.Results The detection rate of abnormal fetal heart rate was 51.67%,abnormal fetal movement rate was 50.00%,abnormal detection rate of non-irritant test results was 20.00%,higher than that of control group(33.33%,26.67%,6.67%),the difference was statistically significant(χ2=4.126,6.909,4.615,P=0.042,0.008,0.031).The rates of vaginal delivery,vaginal assisted delivery and cesarean section in the experimental group were 53.33%,8.33%and 38.33%,respectively,compared with 48.33%,6.67%and 45.00%in the control group,with no significant difference(χ2=0.300,0.120,0.548,P=0.583,0.728,0.458).The preterm delivery rate,intrauterine distress rate,amniotic fluid fecal staining rate and neonatal asphyxia rate of the test group were 3.33%,1.67%,1.67%and 5.00%respectively,which were lower than those of the control group(15.00%,11.67%,11.67%and 16.67%,respectively).The difference was statistically significant(χ2=4.904,4.821,4.821,4.227,P=0.026,0.028,0.028 and 0.039).Conclusion Remote fetal heart rate monitoring for high-risk pregnant women in the third trimester can effectively mo
作者
王文丽
WANG Wenli(Maternal and Child Health Hospital of Changzhou City,Jiangsu Province,Changzhou,Jiangsu 213000,China)
出处
《大医生》
2020年第15期113-115,共3页
Doctor
关键词
互联网背景
远程胎心监护
孕晚期
高危妊娠
internet background
remote fetal heart monitoring
late pregnancy
high-risk pregnancy
