首页|产前胎儿监测和评估方法临床应用再思考

产前胎儿监测和评估方法临床应用再思考

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产前胎儿监测评估的主要目的是降低死胎率,及时干预高风险胎儿以减少不良产科结局的发生.目前的方法包括胎动计数、电子胎心监护和超声检查,尽管这些方法被广泛应用,但其有效性缺乏高级别证据.因此,需要重新思考这些监测方法的临床意义和有效性,以指导其合理使用.文章阐述了产前胎儿监测各种方法及其有效性的相关证据,以期为临床实践提供依据.
Reconsideration of the clinical application of prenatal fetal intrauterine monitoring and as-sessment methods
The main objective of antepartum fetal monitoring and assessment is to reduce stillbirth rates and intervene promptly with high-risk fetuses to minimize adverse obstetric outcomes.Current methods include fetal movement counts,electronic fetal heart monitoring,and ultrasound examinations.Despite their widespread application,there is a lack of evidence regarding their effectiveness in improving outcomes.Therefore,there is a need to reassess the clinical sig-nificance and effectiveness of these monitoring methods to guide their appropriate use.This article provides an overview of various methods and their evidence of ef-fectiveness,aiming to provide evidence for clinical practice.

antepartum fetal monitoringfetal move-ment countselectronic fetal heart monitoringDop-pler blood flow measurement

陈练、魏瑗

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北京大学第三医院妇产科 国家妇产疾病临床医学研究中心 国家产科专业医疗质量控制中心,北京 100191

产前胎儿监测 胎动计数 胎心监护 多普勒血流测定

国家重点研发计划

2023YFC2705900

2024

中国实用妇科与产科杂志
中国医师协会 中国实用医学杂志社

中国实用妇科与产科杂志

CSTPCD北大核心
影响因子:1.97
ISSN:1005-2216
年,卷(期):2024.40(8)
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