【摘要】 目的探讨基于物联网的远程监护在社区孕期妇女中的临床应用效果及其推广价值。方法选取2018年5月～2020年1月在广州市海珠区妇幼保健院妇产科进行产前检查的孕妇944例为研究对象,采用随机数字表法将所有孕妇分为研究组和对照组。对照组472例孕妇采用常规居家护理;研究组472例孕妇采用基于物联网的远程监护。比较分析研究组和对照组孕妇的分娩时间、分娩出血量以及新生儿不良结局发生率等情况。结果研究组孕妇的分娩时间为(4.32±0.43)h,显著短于对照组的(5.41±0.65)h,差异有统计学意义(P <0.05);研究组孕妇的分娩出血量为(201.56±32.23)m L,显著少于对照组的(321.43±54.32)mL,差异有统计学意义(P <0.05);研究组新生儿不良结局总发生率显著低于对照组,差异有统计学意义(P <0.05)。结论基于物联网的远程监护能够有效保障孕妇以及胎儿的安全,有效减少孕妇的分娩时间和分娩出血量,还可以降低新生儿不良结局的发生,值得临床推广。更多还原

【Abstract】 Objective To explore the clinical application effect and promotion value of remote monitoring based on the Internet of Things in community pregnant women. Methods A total of 944 pregnant women who received prenatal examinations in the obstetrics and gynecology department of Maternal and Child Health Hospital of Guangzhou Haizhu District from May 2018 to January 2020 were selected as the research objects and divided into the study group and the control group according to the random number table method. 472 pregnant women in the control group was treated with routine home care, 472 pregnant women in the study group was treated with remote monitoring based on Internet of Things. The pregnant women in the study group and the control group were compared and analyzed the delivery time, the amount of labor bleeding, and the incidence of adverse neonatal outcomes. Results The delivery time in the study group was(4.32±0.43) hours, which was significantly shorter than that in the control group of(5.41±0.65) hours, the difference was statistically significant(P < 0.05). The amount of labor bleeding in the study group was(201.56±32.23) mL, which was significantly less than that in the control group of(321.43±54.32) mL, the difference was statistically significant(P < 0.05). The total incidence of adverse neonatal outcomes in the study group was significantly lower than that in the control group, the difference was statistically significant(P < 0.05). Conclusion Remote monitoring based on the Internet of Things can effectively guarantee the safety of pregnant women and fetuses, reduce the delivery time, bleeding during delivery, and can also reduce the occurrence of adverse neonatal outcomes, which is worthy of clinical promotion.更多还原