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目的:探讨中心电子监护系统(central electronic monitoring system,CEMS)在临床的应用。方法:选择2014年1月~2014年12月3572例应用CEMS的孕妇作为监测组,2013年1月~2013年12月未进行连续胎心监护的孕妇3826例作为对照组,比较两组的胎儿窘迫及新生儿窒息发生率、剖宫产率及阴道手术产率。结果:监测组与对照组相比,胎儿窘迫检出率升高,新生儿窒息率下降,差异有显著性;剖宫产率、阴道助产率无显著差异。结论:使用CEMS可使新生儿窒息率明显下降,不增加手术产率。
Objective: To investigate the clinical application of central electronic monitoring system (CEMS). Methods: A total of 3572 pregnant women who applied CEMS from January 2014 to December 2014 were selected as the monitoring group, and 3826 pregnant women who did not undergo continuous fetal heart monitoring from January 2013 to December 2013 were selected as the control group. The fetuses Distress and neonatal asphyxia, cesarean section rate and vaginal surgery yield. Results: Compared with the control group, the detection rate of fetal distress increased and the rate of neonatal asphyxia decreased in the monitoring group as compared with the control group. There was no significant difference in the rates of cesarean section and vaginal delivery. Conclusion: The use of CEMS can significantly reduce neonatal asphyxia, without increasing the surgical yield.