%0杂志文章%@ 1438- 8871% I JMIR出版物%V 19卡塔尔世界杯8强波胆分析% N 9% P e327% T远程监护在产科的有效性:范围综述%A Lanssens,Dorien %A Vandenberk,Thijs %A Thijs,Inge M %A Grieten,Lars %A Gyselaers,Wilfried %+妇科，Ziekenhuis Oost-Limburg, Schiepse Bos 6, Genk, 3600，比利时，32 89321557,dorien.lanssens@uhasselt.be %K综述%K远程监测%K产科%K产妇结局%K胎儿结局%D 2017 %7 27.09.2017 %9原始论文%J J医学互联网Res %G英文%X背景:尽管在各种医疗保健领域报告了远程监测有效性的积极结果，但这种新技术很少用于产前护理。过去几年进行了一些孤立的调查，但结果相互矛盾。目的:本综述的目的是(1)评估远程监护是否为这一患者群体增加了任何实质性的好处;(2)确定这一领域的研究差距，为未来的研究提出目标。方法:本综述包括探讨孕妇远程监测干预的有效性的研究，以英语报道。由于这一领域的研究较少，因此选取了所有的报告，包括不受控的非随机和随机对照研究。结果:从1988年到2010年进行数据收集的14项研究符合纳入标准，并在1995年至今发表;14篇发表的论文中有4篇是多中心随机对照试验(rct)， 5篇是单中心rct, 3篇是回顾性研究，1篇是观察性研究，1篇是定性研究。在14篇论文中，有9篇论文可用于偏倚风险评估:3篇论文被归类为低风险，1篇为中等风险，5篇为高风险。 Furthermore, of those 14 papers, 13 focused on telemonitoring for maternal outcomes, and nine of the 14 papers focused on telemonitoring for fetal or neonatal outcomes. The studies reviewed report that telemonitoring can contribute to significant reductions in health care costs, (unscheduled) face-to-face visits, low neonatal birth weight, and admissions to the neonatal intensive care unit (NICU), as well as prolonged gestational age and improved feelings of maternal satisfaction when compared with a control group. When only studies with low risk of bias were taken into account, the added value of telemonitoring became less pronounced: the only added value of telemonitoring is for pregnant women who transmitted their uterine activity by telecommunication. They had significant prolonged pregnancy survivals, and the newborns were less likely to be of low birth weight or to be admitted to the NICU. Following these results, telemonitoring can only be recommended by pregnant women at risk for preterm delivery. It is however important to consider that these studies were published in the mid-90s, which limits their direct applicability given the current technologies and practice. Conclusions: This review shows that telemonitoring can be tentatively recommended for pregnant women at risk for preterm delivery. More recent RCTs with a blinded protocol are needed to strengthen the level of evidence around this topic and to have an insight in the added value of the technologies that are available nowadays. In addition, studies investigating patient satisfaction and economic effects in relation to telemonitoring are suggested for future research. %M 28954715 %R 10.2196/jmir.7266 %U //www.mybigtv.com/2017/9/e327/ %U https://doi.org/10.2196/jmir.7266 %U http://www.ncbi.nlm.nih.gov/pubmed/28954715