产前胎儿监测和评估方法临床应用再思考
Reconsideration of the clinical application of prenatal fetal intrauterine monitoring and as-sessment methods
陈练 1魏瑗1
作者信息
- 1. 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
- 折叠
摘要
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.
Abstract
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.
关键词
产前胎儿监测/胎动计数/胎心监护/多普勒血流测定Key words
antepartum fetal monitoring/fetal move-ment counts/electronic fetal heart monitoring/Dop-pler blood flow measurement引用本文复制引用
基金项目
国家重点研发计划(2023YFC2705900)
出版年
2024
国家科技期刊平台
NSTL
万方数据