优化胎监异常流程院内一体化急救模式应用
上海市同仁医院门诊, 上海 200051
| 摘 要： | 研究目的：探讨优化胎监异常流程院内一体化急救模式的应用。主要方法：选取2025年9月—2025年11月本院实施常规急诊救护模式期间收治的50例胎心监护异常病人（孕周≥37周）作为对照组；另选取2025年12月—2026年2月本院实施优化后院内一体化院内一体化无缝衔接急救模式期间，急诊收治的50例胎心监护异常病人（孕周≥37周）作为观察组。比较两组执行胎心连续监护、各项关键环节时间。结果：观察组病人执行胎心连续监护时间短于对照组，差异有统计学意义（P<0.05）；观察组各项关键环节时间短于对照组，差异有统计学意义（P<0.05）。结论：优化胎监异常院内一体化急救模式利于缩短病人执行胎监连续监护时间及各项关键环节时间，使院内一体化无缝衔接急救模式更加完善。 |
| 关 键 词： | 胎监异常; 一体化急救模式; 执行胎心连续监护时间; 护理 |
| DOI： | 10.57237/j.nhres.2026.02.001 |
View:
Downloads:
收稿日期: 2026-04-11
接受日期: 2026-08-04
在线出版日期: 2026-09-07
Application of an Integrated In-hospital Emergency Model for Optimizing the Management Process of Abnormal Fetal Monitoring
Outpatient Department, Shanghai TongRen Hospital, Shanghai 200051, China
| Abstract: | Objective: To explore the application of an in-hospital integrated emergency model for optimizing the process of abnormal fetal monitoring. Methods: Fifty patients with abnormal fetal heart rate monitoring (gestational age ≥ 37 weeks) admitted during the period when our hospital implemented the routine emergency rescue model from September 2025 to November 2025 were selected as the control group. Another fifty patients with abnormal fetal heart rate monitoring (gestational age ≥ 37 weeks) admitted to the emergency department during the period when our hospital implemented the optimized in-hospital integrated seamless emergency rescue model from December 2025 to February 2026 were selected as the observation group. The two groups were compared in terms of continuous fetal heart rate monitoring and the time taken for various key procedures. Results: The time for performing continuous fetal heart rate monitoring in the observation group was shorter than that in the control group, and the difference was statistically significant (P < 0.05). The time for each key procedure in the observation group was also shorter than that in the control group, with statistically significant differences (P < 0.05). Conclusion: The optimized in-hospital integrated emergency model for abnormal fetal monitoring helps shorten the time for patients to receive continuous fetal heart rate monitoring and the time for various key procedures, thereby making the in-hospital integrated seamless emergency model more complete. |
| Keywords: | Abnormal Fetal Monitoring; Integrated Emergency Model; Time for Performing Continuous Fetal Heart Rate Monitoring; Nursing |
参考文献
| [1] | 宋艳, 聂金霞, 冯秀梅. 新生儿窒息与羊水污染、胎心监护的相关性分析 [J]. 现代诊断与治疗, 2021, 32(24): 3923-3925. https://doi.org/10.3761/j.issn.1672-9234.2015.09.002 |
| [2] | 孔北华, 马丁, 段涛. 妇产科学 [M]. 第10版. 北京: 人民卫生出版社, 2024: 59-61. |
| [3] | 刘玉峰, 陈秀莉. 抢救案例分享在急救护理质量持续改进中的应用 [J]. 中华护理教育, 2015, 12(9): 650-653. https://doi.org/10.3761/j.issn.1672-9234.2015.09.002 |
| [4] | 嵇彦. 远程胎心监护在高危妊娠中的应用价值及护理体会 [J]. 基层医学论坛, 2020, 24(18): 2565-2566. https://doi.org/10.19435/j.1672-1721.2020.18.026 |
| [5] | 靳元元, 李铭德, 刘洋, 等. 胎心监护减速面积联合脐血血气对新生儿预后的预测价值 [J]. 中国优生与遗传杂志, 2022, 30(10): 1812-1817. https://doi.org/10.13404/j.cnki.cjbhh.2022.10.024 |
| [6] | 王珊珊, 都凌云, 孙青, 等. 电子胎心监护Ⅱ类图形反复性变异减速产妇分娩终止时限对新生儿结局的影响 [J]. 中华妇幼临床医学杂志 ( 电子版 ), 2021, 17(1): 86-92. https://doi.org/10.3877/cma.j.issn.1673-5250.2021.01.013 |
| [7] | 李奎, 王爽, 杨慧霞. 足月妊娠羊水胎粪污染在可疑胎儿窘迫剖宫产中的意义 [J]. 中华围产医学杂志, 2017, 20(3): 208-212. https://doi.org/10.3760/cma.j.issn.1007-9408.2017.03.012 |
| [8] | 叶文凤, 姚长芳, 吕艳, 等. 胎心监护异常胎儿大脑中动脉及脐动脉血流动力学参数与妊娠结局、新生儿状况的关系 [J]. 实用临床医药杂志, 2018, 22(21): 141-142, 145. https://doi.org/10.7619 /jcmp.201821045 |
| [9] | 迟蕊, 王岩岩, 张新雨, 等. 绿色通道一体化急救模式对急性脑卒中患者救治效果的影响 [J]. 护理实践与研究, 2025, 22(11): 1699-1704. https://doi.org/10.3969/j.issn.1672-9676.2025.11.019 |
| [10] | 杨秀红, 李萍, 合依热古丽·吾拉依木. 链式管理在脑卒中溶栓绿色通道中的应用效果观察 [J]. 护理研究, 2020, 34(4): 721-723. https://doi.org/10.12102/j.issn.1009-6493.2020.04.036 |
| [11] | 孙静, 陈勇, 刘漪沦, 等. 区域老年急救服务一体化平台系统的设计与构建 [J]. 中国数字医学, 2022, 17(6): 114-118, 113. https://doi.org/10.3969/j.issn.1673-7571.2022.6.023 |
| [12] | 相松飞, 陈秀芳. 基于医疗失效模式与效应分析的卒 中急救流程在基层医院中的应用效果 [J]. 中华现代 护理杂志, 2021, 27(2): 250-255. https://doi.org/10.3760/cma.j.cn115682-20200827-05079 |
| [13] | 陈秀芳, 赵秋美, 罗国英, 等. 卒中急救护士参与管理 对急性缺血性卒中患者救治效果及医生满意度的影响 [J]. 中国医药导报, 2022, 19(23): 166-169, 193. https://doi.org/10.20047/j.issn1673-7210.2022.23.036 |
| [14] | 陈忠芳. 胎心监护异常与新生儿窒息的关系探讨及临床干预策略 [J]. 当代医药论丛, 2026, 24(7): 70-72. https://doi.org/10.3969/j.issn.2095-7629.2026.07.020 |
| [15] | 冯春玲, 汪培培, 姜荷霖, 等. 5G+院前院内一体化融合系统在急诊严重创伤患者救治中的应用 [J]. 护理学杂志, 2024, 39(19): 97-100. https://doi.org/:10.3870/j.issn.1001-4152.2024.19.097 |
