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Development of Home Telemetry System using the Internet for High-risk Pregnancy

利用互联网开发家庭高危妊娠遥测系统

基本信息

批准号：
07671791
负责人：
HARA Kazuhiro
金额：
$ 1.34万
依托单位：
Kagawa Medical University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1995
资助国家：
日本
起止时间：
1995 至 1997
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-07671791/
关键词：
Internet Systematizaion of perinatal care Perinatal network system home telemetry system Fetal Heart Rate テレナディシンホームテレナトリ

项目摘要

In the management of the high-risk pregnancy, the long term continuous fetal heart rate (FHR) monitoring is most important to reduce the perinatal mortality and morbidity. In the perinatal center at Kagawa Medical School, with use of internet, we developed the maternal management system which connects homes and medical facilities and the network system which runs among clinics and hospitals. With this system, FHR and uterine contractions as well as fetal movements can easily and automatically be transmitted to the hospital through INTERNET from the patient's home or from other medical facilities at any time.The basic system is composed of FHR monitor system, Windows'PC and analyzing software. For the maternal management system, we developed a portable FHR monitor. This monitor is specially designed for easy-use at home. The network system is capable to be used in two ways, considering present FHR monitoring system in medical facilities. One is with the use of FHR data that is directly transmitted from FHR monitor and the other method uses FHR data from the central monitoring system. These data are automatically transmitted from patient's home or from other facilities into INTERNET as ASCII text file format through the gateway of the commercial network.The obstetrician can easily get the CTG data as E-MAIL through INTERNET from anywhere, even out side of the hospital. The CTG data are displayd on the CRT and automatically diagnosed. Using this system, it has become possible to manage the high-risk patient, not only within one hospital or in one regional community but also in any distant hospitals as we can construct network and share medical data. This system makes it possible to realize an ideal perinatal managing system.

在高危妊娠的处理中，长期连续胎心监护对降低围生儿死亡率和发病率至关重要。在香川医科大学的围产中心，我们利用互联网开发了连接家庭和医疗设施的产妇管理系统以及诊所和医院之间的网络系统。该系统可将胎儿心率、宫缩、胎动等监测信息通过INTERNET从患者家中或其他医疗机构随时自动传送到医院，其基本系统由胎儿心率监测系统、Windows PC机和分析软件组成。针对产妇管理系统，我们研制了一种便携式胎心率监护仪。这台显示器是专为在家里使用方便而设计的。考虑到医疗设施中的当前FHR监测系统，网络系统能够以两种方式使用。一种是使用直接从胎心率监护仪传输的胎心率数据，另一种方法使用来自中央监护系统的胎心率数据。这些数据以ASCII文本文件格式通过商业网络网关自动从患者家中或其他设施传输到INTERNET，产科医生可以通过INTERNET以E-MAIL的形式从任何地方，甚至在医院外轻松获得CTG数据。CTG数据显示在CRT上并自动诊断。使用该系统，不仅可以在一家医院或一个区域社区内管理高危患者，而且可以在任何远程医院内管理高危患者，因为我们可以构建网络并共享医疗数据。该系统的实现，为实现一个理想的围产期管理系统提供了可能。