Török M, Gáti I
Orvostovábbképzö Egyetem, Szülészeti és Nögyógyászati Klinika, Budapest.
Orv Hetil. 1990 Apr 8;131(14):731-7.
The authors, following a short review of the currently available diagnostic and therapy methods of threatening premature delivery, introduce their own method. The most important feature of this method is a two-level, computerized telecommunicative system. According to the risk factors, physical examination and the patient's complaints (clinical parameters) a risk score analysis is made by the central computer of the outpatient clinic. Those pregnants who fall into the high-risk group are followed-up by means of a portable contraction monitor. The treatment is introduced according to the registered spontaneous contraction activity. (hospitalisation, beta-mimetic etc.). After institution of the therapy the patient can be emitted to her home under the care of the portable monitor. Data of the registered and stored contraction activity from the patient's home can be transmitted to the central computer of the out-patient clinic via phone. If the telephone connection is not possible, the physician can read out the stored data from the memory of the portable monitor on its own display during regular visits. Finally the authors make preliminary cost-benefit calculation on the basis of the literature and their own data and conclude that their method can be very cost effective as well.
作者在简要回顾了当前可用的威胁早产的诊断和治疗方法后，介绍了他们自己的方法。该方法最重要的特点是一个两级的计算机化远程通信系统。根据风险因素、体格检查和患者的主诉（临床参数），门诊中心计算机进行风险评分分析。那些属于高危组的孕妇通过便携式宫缩监测仪进行随访。根据记录的自发宫缩活动进行治疗（住院、使用β-拟交感神经药等）。治疗开始后，患者可在便携式监测仪的监护下出院回家。患者家中记录和存储的宫缩活动数据可通过电话传输到门诊中心计算机。如果无法进行电话连接，医生可以在定期就诊时从便携式监测仪的存储器中读出存储在其自身显示屏上的数据。最后，作者根据文献和他们自己的数据进行了初步的成本效益计算，并得出结论，他们的方法也可能非常具有成本效益。
