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目的:探讨远程胎心监护联合超声监测在高危妊娠中的临床应用价值。方法:选择2007年1月～2008年1月的50例高危孕妇采用远程胎心监护网络进行无负荷试验(NST)并联合超声监测(研究组),选择同期进行常规胎心监护的高危孕妇50例为对照组。分析两组的监测结果、分娩方式及围生儿结局。结果:研究组NST异常检出率为46.9,较对照组的32.6明显增高(P<0.05);宫内诊断率研究组达97.1,明显高于对照组的73.3,两组比较有显著性差异(P<0.05)。两组剖宫产率无明显差异(P>0.05)。研究组新生儿窒息、早产儿和低体重儿的发生率低于对照组(P<0.05)。结论:远程胎心监护联合超声用于高危妊娠监测可提高宫内诊断水平,改善围生儿预后,值得推广应用。
Objective: To investigate the clinical value of remote fetal heart rate monitoring combined with ultrasound in high-risk pregnancy. Methods: Fifty high-risk pregnant women from January 2007 to January 2008 were enrolled in this study. The long-term fetal heart monitoring network was used for NST and ultrasound monitoring (study group). The high-risk pregnant women 50 Example for the control group. Analysis of the two groups of monitoring results, mode of delivery and perinatal outcome. Results: The detection rate of NST abnormality in study group was 46.9, which was significantly higher than 32.6 in control group (P <0.05). The intrauterine diagnosis rate was 97.1 in study group, which was significantly higher than 73.3 in control group, with significant difference between the two groups P <0.05). Cesarean section rate was no significant difference between the two groups (P> 0.05). The incidence of neonatal asphyxia, premature children and low birth weight children in the study group was lower than that of the control group (P <0.05). Conclusion: The combination of remote fetal heart rate monitoring and ultrasound in the monitoring of high-risk pregnancies can improve the intrauterine diagnosis and improve the prognosis of perinatal children, which is worthy of promotion and application.