远程电子胎心家庭监测系统专家型终端的临床应用

Su Fangming, Guo Xiaohui

Department of Obstetrics, Second Hospital, Affiliated of Jinan University, Shenzhen 518020, China.

Zhonghua Fu Chan Ke Za Zhi. 2002 Aug;37(8):459-61.

OBJECTIVE

To investigate the clinical value of the expert type terminal of long-distance electronic fetal heart rate home monitoring system in the application to self-monitoring of pregnant woman at home in peripartum.

METHODS

All the pregnant women (n = 284) were divided into two groups. Research group (n = 134) contained 73 high risk gravida. There were 78 high-risk gravida in control group (n = 150). In the research group, self-monitoring at home in 134 women was taken by the expert type terminal of long-distance electronic fetal heart rate monitoring system through telephone and fetal movement counting. The women were requested to auscultate and transfer fetal heart rate (FHR) to electronic FHR monitoring center in hospital. Non-stress test (NST) was made 1 approximately 2 times every week when fetal movement was active. When women felt any abnormality of baby, she should immediately test NST and then the photograph of NST was send to FHR monitoring center by telephone. Doctor would make a diagnosis and management in time according to the photograph of NST. In the control group, the way of fetal monitoring was fetal movement counting and regular NST test in the outpatient clinic.

RESULTS

The incidence of abnormal NST was significantly higher in the research group than that in the control group (respectively 22.0% vs 13.5%, P < 0.05). The neonatal asphyxia was significantly lower in the research group than that in the control group (respectively 1.5% vs 4.0%, P < 0.05). The incidence of abnormal NST was not different between the high-risk women and non-high-risk women in the research group (respectively 22.3% vs 21.6%, P > 0.05).

CONCLUSIONS

The expert type terminal of long-distance electronic FHR monitoring system through telephone is a new way of the FHR self-monitoring at home. The application of this method could ease mental press of the women, decrease significantly perinatal mortality, decrease incidence of neonatal asphyxia, and improve quality of obstetrics. Whatever there are high risk factors in any pregnant women, the system should be applied to all late pregnant women.

目的

探讨远程电子胎心监护系统专家型终端在围产期孕妇家庭自我监护中的应用价值。

方法

将284例孕妇分为两组。研究组（n = 134）中有73例高危孕妇。对照组（n = 150）中有78例高危孕妇。研究组中，134例孕妇通过电话和胎动计数，利用远程电子胎心监护系统专家型终端在家中进行自我监护。要求孕妇听诊并将胎心率（FHR）传输至医院的电子胎心监护中心。胎动活跃时，每周大约进行1至2次无应激试验（NST）。孕妇感觉胎儿有任何异常时，应立即进行NST检查，然后通过电话将NST图像发送至胎心监护中心。医生会根据NST图像及时做出诊断和处理。对照组的胎儿监护方式为胎动计数和在门诊定期进行NST检查。