建立新生儿窒息复苏评价体系  

Establishment of neonatal asphyxia recovery evaluation system

作　　者：谭玮[1] 丁香平[1] 周锦龙[1] 刘淮[1] 诸丰英[1] 唐文燕[1] 金小兰[1] 郑九生[1] 

机构地区：[1]江西省妇幼保健院,江西南昌330006

出　　处：《中国妇幼保健》2013年第29期4765-4767,共3页Maternal and Child Health Care of China

基　　金：江西省科技计划项目〔20111BBG70020-5〕

摘　　要：目的：评价新生儿窒息复苏技术在临床应用中的效果。方法：建立新生儿窒息复苏评价体系：成立院内新生儿窒息复苏领导小组，医务人员对复苏技术规范的培训及复训，按照复苏流程进行复苏后的效果评价。选择分娩出生时发生窒息的新生儿为研究对象，根据建立新生儿窒息复苏评价体系前、后分为观察组（2010年1月～2011年12月）和对照组（2008年1月-2009年12月），比较两组新生儿窒息发生率及窒息病死率，对观察组病例进行复苏后效果评价。结果：观察组轻度窒息及重度窒息发生率均低于对照组（χ^2=127．19，15．99；P均〈0．01）。观察组复苏流程临床应用正确率：快速评估和正压通气100％，正压通气加心脏按压91．4％，气管插管90．6％，药物95．2％。结论：对复苏技术临床应用效果进行评价，可促进医务人员熟练掌握复苏流程并正确操作，能有效的降低新生儿窒息发生率。Objective： To evaluate the clinical effect of neonatal asphyxia recovery technology. Methods： Establishment of neonatal asphyxia recovery evaluation system： establishment of hospital asphyxia recovery leading group, hospital staff training and refresher training on neonatal asphyxia recovery, effectiveness evaluation according to neonatal asphyxia recovery procedure. The neonates with asphyxia at birth were selected as study objects, then they were divided into observation group （from January 2010 to December 2011 ） and control group （from January 2008 to December 2009） according to time; the incidence rates of asphyxia and the mortalities of asphyxia in the two groups were compared; the effectiveness of neonatal asphyxia recovery in observation group was evaluated. Results： The incidence rates of mild asphyxia and severe asphyxia in observation group were statistically significantly lower than those in control group （χ^2 = 127.19, P 〈 0. 01 ; χ^2 = 15.99, P 〈 0. 01 ） . The clinical correct application rates of neonatal asphyxia recovery procedure： rapid evaluation and continuous positive airway pressure （ CPAP ） （ 100% ） , CPAP and cardiac compression （ 91.4% ） , endotracheal intubation （ 90.6% ） , drugs （ 95.2% ） . Conclusion ： Evaluating the clinical application effect of neonatal asphyxia recovery can promote the medical staff to grasp neo natal asphyxia recovery procedure and operate correctly, which can effectively reduce the incidence rate of neonatal asphyxia.

关 键 词：新生儿 窒息复苏技术 评价 

分 类 号：R722.1[医药卫生—儿科]