刘伟　薛会平　贾倩　李素玮

[摘要] 目的 探讨移动互联网管理模式对孕产妇妊娠结局的影响。 方法 选取2015年10月～2016年10月在河北大学附属医院产检的孕妇118名，采用简单随机化法分为对照组和研究组，每组59名。对照组实施传统孕产妇管理模式，研究组实施移动互联网管理模式。统计并对比两组组孕产妇妊娠合并症、分娩方式、妊娠结局，随访3个月，对比孕产婦产后恢复情况及新生儿发育状况。 结果 研究组孕产妇总妊娠合并症发生率显著低于对照组（P < 0.05）；研究组剖宫产率显著低于对照组（P < 0.05）；研究组孕产妇总不良妊娠结局及围生儿总不良妊娠结局发生率为5.08%、3.39%，对照组为16.95%、13.79%，两组比较，差异均有统计学意义（P < 0.05）；研究组孕产妇产后恢复不良、新生儿发育不良发生率均显著低于对照组（P < 0.05）。 结论 应用移动互联网管理模式可显著降低孕产妇妊娠合并症发生率、改善孕产妇、围生儿妊娠结局，有助于孕产妇产后恢复及新生儿发育，在孕产妇规范化管理中可行性高。

[关键词] 移动互联网管理模式；妊娠结局；妊娠合并症；分娩方式

[中图分类号] R473.71 [文献标识码] A [文章编号] 1673-7210（2018）09（b）-0070-04

[Abstract] Objective To explore the influence of mobile internet management mode on pregnancy outcome of maternal women. Methods A total of 118 pregnant women were selected from October 2015 to October 2016 in Affiliated Hospital of Hebei University， who were divided into control group and research group by simple randomization， and there were 59 cases in each group. The control group was implemented the traditional management mode of maternal women， while the research group was implemented the mobile internet management mode. The pregnancy complications， the delivery modes， the pregnancy outcomes of the two groups were compared. The postpartum recovery of maternal women and the development of neonatal were compared after 3 months of following-up. Results The total rate of pregnancy complications in the research group was lower than that of the control group （P < 0.05）， and the rate of cesarean section in the research group was significantly lower than that of the control group （P < 0.05）. The total incidences of adverse pregnancy outcome of maternal women and perinatal infants in the research group were 5.08%， 3.39% respectively， which were 16.95%， 13.79% in the control group， with statistically significant differences between the two groups （P < 0.05）. The incidence of adverse postpartum recovery and neonatal dysplasia of the research group were significantly lower than those of the control group （P < 0.05）. Conclusion The application of mobile internet management mode can significantly reduce the rate of maternal women pregnancy complication， improve maternal women and perinatal outcomes of pregnancy， help postpartum recovery and neonatal development， with high feasibility in the standard management of maternal women.

[Key words] Mobile internet management mode； Pregnancy outcomes； Pregnancy complications； Modes of delivery

随着人民生活水平不断提高，优生优育的重要性也越来越受到人们的重视。人员流动性强、孕产妇对孕期健康知识认识不够深入及其对妊娠保健重视不足等原因导致不能及时筛查高危妊娠，一旦病发严重影响母婴健康[1]。高危妊娠如产科出血、妊娠高血压综合征、妊娠合并外科疾病等仍是导致孕产妇及胎儿死亡的主要原因。开展定期产检并进行高危妊娠筛查等妊娠保健措施，及早发现问题并进行干预，可有效降低孕产妇死亡率、保障围生儿健康[2]。近年来，我国对孕产妇孕期保健的宣传方式有书籍、健康讲座、网络宣传等，但其效果仍有待加强。高危妊娠筛查管理不到位，可导致多种妊娠期并发症，影响胎儿的正常生长发育，且危及母婴安全[3-4]。为探索更有效、更规范化的孕产妇管理模式，河北大学附属医院（以下简称“我院”）产科特尝试建立微博、微信管理平台，应用移动互联网技术对我院产检的孕妇进行孕期管理，并将其与传统孕产妇管理模式进行效果对比。……