新生儿窒息新法复苏技术向基层医院推广模式的探讨  

Exploration on extension pattern of new recovery technology of neonatal asphyxia to primary hospitals

作　　者：李杰[1] 苗秀芳[1] 张兆兰[1] 

机构地区：[1]北京市朝阳区妇儿医院新生儿科,100021

出　　处：《中国妇幼保健》2009年第35期5076-5077,共2页Maternal and Child Health Care of China

基　　金：北京市朝阳区科委课题〔SF0811〕

摘　　要：目的:推广新生儿窒息新法复苏方法,探讨复苏管理要点,降低新生儿窒息死亡率。方法:回顾性分析2004～2008年北京市朝阳区19家助产机构推广新法新生儿窒息复苏技术,建立高危儿转诊网络。结果:全区新生儿窒息率由3.40%降低到2.22%,围产儿死亡率由10.22‰降低到7.93‰;分析2008年三级医院、二级医院、一级和民营医院3个级别助产机构新生儿窒息率分别为2.02%、1.87%、3.38%。结论:建立培训基地,定期复训,将新生儿窒息新法复苏技术纳入产科质量管理,行政干预,注重基层医院培训与管理是降低全区新生儿窒息死亡的关键。Objective： To promote the new recovery technology of neonatal asphyxia, explore the management key points of recovery and reduce mortality rate of neonatal asphyxia. Methods： 19 hospitals in Chaoyang district promoted the new recovery technology of neonatal asphyxia and established referral network of high risk neonates from 2004 to 2008, retrospective analysis was conducted. Results ： The rate of neonatal asphyxia reduced from 3.40% to 2. 22% , while the mortality rate of prenatal infants reduced from 10. 22‰ to 7. 93‰; the rate of neonatal asphyxia in tertiary hospitals, secondary hospitals, first - level hospitals and private hospitals were 2.02% , 1.87% and 3.38% , respectively. Conclusion： The establishment of training bases and periodic refresher training, new recovery technology of neonatal asphyxia subsumed in management of obstetric quality, administrative intervention, paying attention to training and management of primary hospitals are vital for reducing mortality rate of neonatal asphyxia.

关 键 词：窒息 新生儿 复苏术 推广 

分 类 号：R722.12[医药卫生—儿科]