2015—2018年西安市儿童医院新生儿重症监护院际间转运分析  

Analysis on the inter hospital transport of neonatal intensive care in Xi’an children’s hospital from 2015 to 2018

作　　者：文俊[1] 章玉丹 惠国艳 苏宇飞[1] WEN Jun;ZHANG Yu-dan;HUI Guo-yan;SU Yu-fei(Emergency Department,Xi'an Children's Hospital,Xi'an 710003,China)

机构地区：[1]西安市儿童医院急诊科

出　　处：《临床医学研究与实践》2020年第2期107-109,共3页Clinical Research and Practice

摘　　要：目的分析2015-2018年陕西及周边地区危重新生儿转运临床特点,制定区域内新生儿重症转运的策略。方法选取2015年1月至2018年12月西安市儿童医院院前转运重症新生儿174例作为研究对象,将其根据胎龄分为早产儿组(120例,胎龄<37周)和足月儿组(54例,胎龄37~42周)。分析174例新生儿的性别分布及两组患儿不同转运模式下转运的疾病分布;比较早产儿不同转运模式下转运的体重以及两组患儿重症监护转运路程。结果两组患儿的男女比例比较,差异无统计学意义(P>0.05)。早产儿以nMV转运为主,早产儿nCPAP转运28例,占23.33%;早产儿MV转运23例,占19.17%;早产儿nMV转运69例,占57.50%。足月儿以nCPAP转运为主,nCPAP转运25例,占46.30%;足月儿MV转运8例,占14.81%;足月儿nMV转运21例,占38.89%。nMV组的早产儿体重大于nCPAP组、MV组,且nCPAP组大于MV组,差异具有统计学意义(P<0.05)。两组患儿的短程、中程、长程转运距离比较,差异无统计学意义(P>0.05)。结论院前重症监护新生儿转运时具有高风险,根据新生儿是否足月以及疾病选择不同转运模式,转运过程中要密切监测患儿的生命体征,及时调整转运策略,保证新生儿重症监护转运的顺利实施。Objective To analyze the clinical characteristics of critical neonatal transport in Shaanxi and its surrounding areas from 2015 to 2018, and formulate strategies for critical neonatal transport in the region. Methods From January 2015 to December 2018, 174 critically ill newborns transferred to Xi’an children’s hospital were selected as the study objects. According to the gestational age, the children were divided into premature group(120 cases, gestational age <37 weeks) and term group(54 cases, gestational age with 37-42 weeks). The gender distribution of 174 newborns and the disease distribution of transport in different transport modes of the two groups were analyzed. The weight of preterm infants in different transport modes and the transport distance in intensive care of the two groups were compared.Results There was no significant difference between the male and female ratio of the two groups(P>0.05). In the preterm infants, nMV transport was the main mode, there were 28 cases(23.33%) in nCPAP transport, there were 23 cases(19.17%) in MV transport and 69 cases(57.50%) in nMV transport. In the term infants, nCPAP transport was the main mode, there were 25 cases(46.30%) in nCPAP transport, there were 8 cases(14.81%) in MV transport and 21 cases(38.89%) in nMV transport. The weight of preterm infants in the nMV group was higher than that in the nCPAP group and the MV group, and that in the nCPAP group was higher than that in the MV group(P<0.05). There was no significant difference in the short, medium and long transit distance between the two groups(P>0.05). Conclusion There is a high risk in the transportation of neonates in pre-hospital intensive care. Different transportation modes should be selected according to whether the newborns are full-term and diseases. During the transportation process, the vital signs of the infants should be closely monitored, and the transportation strategies should be adjusted in time to ensure the smooth implementation of the transportation of neonatal intensive care.

关 键 词：新生儿 重症监护转运 机械通气 

分 类 号：R720.597[医药卫生—急诊医学]