中心电子监护系统的临床应用

目的 探讨使用中心电子监护系统对提高产科质量的作用。方法 对１９７９年１１月 １９９８年３月在我院分娩的孕周≥３７周的１２１６例孕妇进行ＣＥＭＳ监护,并与１９９６年１１月至１９９７年３月在我院分娩的孕周≥３７周、未行ＣＥＭＳ监护的１１３７例孕妇（对照组）进行比较,分析两组胎儿窘迫发生率,新生儿窒息发生率,剖宫痃和阴道手术率。结果 姐与则组胎儿窘迫发生率分别为９．８％、１２．８％;新生窒息发生率分别

Clinical use of central electronic monitoring system

OBJECTIVE: To evaluate the effects of central electronic monitoring system (CEMS). METHODS: A total of 1,216 patients with > or = 37 weeks of gestation assigned as monitoring group, were performed central electronic monitoring during labor from Nov. 1997 to Mar. 1998. A total of 1,137 patients with same gestational age assigned as control group, were monitored by using intermittent auscultation during labor from Nov. 1996 to Mar. 1997. The rate of fetal distress, neonatal asphyxia, cesarean section, and using of forceps or vacuum extractor in the 2 groups were compared. RESULTS: Patients in the monitoring group had a higher fetal distress rate (12.8%) than that of the control group (9.8%, P < 0.05), but a significantly lower neonatal asphyxia rate (2.3%) than that of the control group (4.8%, P < 0.01). There were no significant differences in the overall cesarean rate, cesarean rate for fetal distress, overall use rate of forceps or vacuum extractor delivery, and vaginal operative delivery rate for suspected fetal distress between the two groups (P > 0.05). CONCLUSION: Quality for obstetric care was significantly improved by application of central electronic monitoring for labor management, it didn't increase the cesarean section rate and vaginal operative delivery rate, but decreased the neonatal asphyxia rate.