目的 探讨胎儿远程智能监护在高危妊娠中的临床作用.方法 选择广州医学院附属深圳沙井医院孕期28~32周的高危妊娠孕妇206例,随机分为两组,研究组103例,对照组103例.研究组免费领用我院提供的胎儿远程监护终端(胎心胎动监测仪),按需在家中进行胎儿远程监护,发现异常情况及时和医生取得联系或到医院复诊,对照组按规定定期到医院进行产前检查和胎儿监护.结果 研究组的NST异常检出率大于对照组(χ2=5.707,P<0.05),产前检查次数少于对照组(t=-15.213,P<0.05),顺产率大于对照组(χ2=14.161,P<0.05),产后出血发病率低于对照组(χ2=11.931,P<0.05).研究组的新生儿窒息、早产、羊水粪染、低体重儿发生率均显著低于对照组(χ2值分别为8.271、4.716、5.089、4.696,均P<0.05),新生儿预后不良情况明显得到改善.结论 胎儿远程智能监护应用于高危妊娠,可减少孕妇产后出血率,降低新生儿窒息和早产的发生,对提高围产期保健质量有重要的价值.%Objective To explore the clinical application of smart fetal remote monitoring system in high risk pregnancy. Methods Totally 206 cases of high risk pregnancy from 28 to 32 gestational weeks were selected from Shenzhen Shajing Hospital Affiliated to Guangzhou Medical College. Then they were randomly divided into study group (103 cases) and control group (103 cases). Cases in the study group used smart fetal remote monitor and monitored at home, and they contacted doctors or came to hospital when abnormal situation occurred. Cases in the control group took prenatal examination and fetal monitor as required. Results Compared to the control group, the NST abnormal detection rate was significantly higher (χ2 =5. 707, P<0. 05), the antenatal examination times was significantly lower (t= -15. 213, P<0. 05), natural birth was significantly higher (χ2 =14. 161,P<0. 05), and the incidence of postpartum hemorrhage was significantly lower in the study group (χ2 =11. 931,P<0. 05). The incidence of neonatal asphyxia, premature birth, meconium stained amniotic fluid, and infant of low-birth weight in the study group was significantly lower than that in the control group (χ2 value was 8. 271, 4. 716, 5. 089 and 4. 696, respectively, all P<0. 05). Neonatal prognosis was obviously improved in the study group. Conclusion The application of smart fetal remote monitoring system reduces the incidence of postpartum hemorrhage, neonatal asphyxia and premature birth in high risk pregnancy, which is important to improve perinatal health care.
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