中国实用妇科与产科杂志2026，Vol.42Issue(4)：400-402,3.DOI:10.19538/j.fk2026040104
基于胎儿生理的产时电子胎心监护评估新理念
New concepts for intrapartum electronic fetal monitoring based on fetal physiology
摘要
Abstract
Electronic fetal monitoring(EFM)reflects real-time changes in fetal heart rate and serves as an important tool for assessing the intrauterine condition of the fetus.In-trapartum EFM performed against a background of frequent uterine contractions differs from antepartum EFM in terms of interpretive priorities and has significant implications for intrapartum decision-making.Emerging evidence suggests that baseline stability and variability of fetal heart rate cor-relate with pregnancy outcomes,warranting increased at-tention in the interpretation of intrapartum EFM.In recent years,with the continuous updates on international guide-lines for intrapartum EFM,the interpretation of intrapartum EFM is shifting from pattern recognition toward pathophysi-ological mechanism analysis.Individualized interpretation of EFM and assessment of intrauterine fetal condition should be achieved based on EFM characteristics,maternal risk factors,comorbidities,and labor progress,identifying the type of fetal hypoxia and fetal compensatory and decom-pensatory status and implementing targeted management.This approach of interpretation contributes to improving perinatal outcomes and ensuring maternal and fetal safety.关键词
产时电子胎心监护/病理生理机制/基线/基线变异Key words
intrapartum electronic fetal monitoring/pathophysiological mechanism/baseline/baseline variability分类
医药卫生引用本文复制引用
冯烨,杨慧霞..基于胎儿生理的产时电子胎心监护评估新理念[J].中国实用妇科与产科杂志,2026,42(4):400-402,3.基金项目
Noncommunicable Chronic Diseases-Na-tional Science and Technology Major Project(2024ZD0532100) （2024ZD0532100）
Clinical Research Fund of High-Level Hospitals(Pe-king University First Hospital Youth Clinical Research Special Project)(2025YC14) 四大慢病重大专项(2024ZD0532100) （Pe-king University First Hospital Youth Clinical Research Special Project）
中央高水平医院临床科研业务费资助(北京大学第一医院青年临床研究专项)(2025YC14) （北京大学第一医院青年临床研究专项）
