目的 探索胎动感知在晚孕期监护胎儿宫内状况中的应用效果，为孕妇常规管理和高危筛 查提供参考依据。方法 前瞻性选取 2021 年 1 月至 2023 年 1 月在南方医科大学南方医院规律产检、并拟在本院住院分娩的宫内单活胎初产孕妇 3 000 例，分为胎动计数组与胎动感知组，每组各 1 500 例。 胎动计数组以胎动计数作为胎动监测方法，胎动感知组以胎动感知作为胎动监测方法，监护晚孕期胎儿 宫内状况。采用频数、标准差、中位数、四分位数描述性分析两组孕妇一般资料、监测胎动的依从性、 胎动异常时间，两种胎动监测方法的监测效果、胎儿宫内状况改善效果。结果 胎动感知组孕妇治疗依 从性量表（Frankl）评分结果高于胎动计数组，胎动异常时间短于胎动计数组，比较差异有统计学意义 （P < 0.05）。胎儿宫内状况危重时，胎动感知监测效果（100.00%）/胎儿宫内状况改善效果（10.99%）优于 胎动计数（62.59%）（/ -59.78%），比较差异有统计学意义（P < 0.05）。结论 胎动感知晚孕期监护胎儿宫 内状况能提高孕妇胎动监测的依从性、缩短胎动异常时间，改善胎儿宫内状况及新生儿结局，值得在临床推广应用。

Objective To explore the application effect of fetal movement perception on fetal intrauterine status monitoring during late pregnancy，and to provide reference for routine management and high⁃risk screening of pregnant women. Methods A total of 3 000 cases of primiparae with intrauterine single live fetus having prenatal examination and planning to be hospitalized for delivery in Nanfang Hospital，Southern Medical University from January 2021 to January 2023 were prospectively selected. They were divided into fetal movement counting group （1 500 cases）and fetal movement perception group（1 500 cases），monitored by fetal movement counting and fetal movement perception respecitvely. The general data of the pregnant women，compliance with monitoring fetal move⁃ ment，time of abnormal fetal movement，and the monitoring effect and improvement of fetal intrauterine condition of two fetal movement monitoring methods were descriptively analyzed in terms of frequency，standard deviation， median and quartile. Results The score of Frankl′s Behavior Rating Scale of the pregnant women in fetal move⁃ ment perception group was higher than that in fetal movement counting group，and the abnormal time of fetal move⁃ ment in fetal movement perception group was shorter than that in the fetal movement counting group（P < 0.05）. when in critical condition，the monitoring effect（100.00%）/ the improvement effect of fetal movement perception on fetal intrauterine condition（10.99%）was better than fetal movement count（62.59%）/（-59.78%），showing statistical significance. Conclusion The fetal movement perception to monitor intrauterine condition during late pregnancy can improve the compliance of fetal movement monitoring in pregnant women，shorten the time of abnor⁃ mal fetal movement，improve fetal intrauterine condition and neonatal outcomes，and is worthy of clinical promotion.