胎心电子监护网络对产时胎儿的监护及出生评价

目的：探讨分娩时胎儿在宫内的安危及分娩后新生儿的结果，方法：选择1998年2至3月本院369名使用胎心监护网络分娩的产妇与应用单机监护分娩的产妇比较，观察两组宫内窘迫符合率、剖宫产、阴道助产发生率及新生儿窒息发生率．结果：网络监测组宫内窘迫符合率、剖宫产及阴道助产发生率明显高于对照组（P＜0.05）；而新生儿窒息发生率，尤其重度窒息发生率明显低于对照组（P均＜0．01）．通过对低危病人的监测，发现低危病人转为高危病人，两组分别为16．7％和19.2％，说明低危病人也应行常规监测．提示：使用网络监护能较早、更准确了解胎儿宫内安危，明显提高监测诊断水平．

The Application of Fetal Heart Monitoring Network to Delivery

369 parturients in our hospital from Feb.To Mar.1998 using fetal heart monitoring net-work wrer compared with those using applied computer to observe the incidence of intrauterineanoxia,hysterotomy, viginal obstetrics and asphyxia neonatorum of the two groups. The results indi-cated that the incidence of intrauterine aroxia, hpsterotomy and viginal obstetrics of the group using themonitoring network was significantly higher than that of control group (P<0.05). But the incidence ofasphyxia neonatorum, especially that of the serious cases, was significantly lower than that of controlgroup (P average<0.01). Through the monitoring of the low risk patients, 15% ~ 20% of them werebecoming high risk patients.The low risk patiens should also be routinely monitored.It was suggestedthat the monitoring network Cauld earlier underntand and of high accuracy.It saved man power andmaterial resources and highly raises the level of monitoring and diagnosis.