计划性宫内转运对极低出生体重儿救治的意义  

The significance of planned intrauterine transport for the treatment of very low birth weight infants

作　　者：赵伟[1] 张立明[1] 尹延娥[1] 林新宇[1] 秦富香[1] ZHAO Wei;ZHANG Liming;YIN Yane;LIN Xinyu;QIN Fuxiang(Department of Neonatology,Weifang People's Hospital,Weifang 261041,China)

机构地区：[1]潍坊市人民医院新生儿科,山东潍坊261041

出　　处：《潍坊医学院学报》2020年第5期346-348,共3页Acta Academiae Medicinae Weifang

基　　金：潍坊市卫生计生委项目(项目编号:2017wsjs099)。

摘　　要：目的探讨计划性宫内转运对极低出生体重儿救治的意义。方法回顾性分析112例以宫内转运模式转运至我院产科后娩出的极低出生体重儿,研究组采用计划性宫内转运模式,对照组采用紧急性宫内转运模式,记录两组极低出生体重儿的转运成功率,成活率,存活儿治愈率、平均住院时间、严重合并症及医患纠纷发生率,统计分析后得出结论,比较两种宫内转运方式对极低出生体重儿救治效果及转归的影响。结果研究组转运成功率100%,存活率97.9%,治愈率91.5%,对照组转运成功率90.8%,存活率84.6%,治愈率76.9%,两组比较,差异皆有显著性(P<0.05);研究组住院时间为(38.65±3.15)d,对照组住院时间为(42.95±7.74)d,两组比较,差异有显著性(P<0.05);研究组严重合并症发生率显著低于对照组(P<0.05);两组医患纠纷方面比较差异无显著性(P>0.05)。结论计划性宫内转运可提高极低出生体重儿的救治效果,保障疗效及预后,值得广泛推广应用。Objective To investigate the significance of planned intrauterine transport for the treatment of very low birth weight infants.Methods A retrospective analysis of 112 patients with very low birth weight infants delivered to our hospital after intrauterine transport mode was used.The study group used a planned intrauterine transport mode,and the control group used an emergency intrauterine transport mode to record the two groups.Transit success rate,survival rate,survivor cure rate,average hospital stay,severe comorbidities,and disputes between doctors and patients with low birth weight infants.After statistical analysis,it was concluded that two intrauterine transporters were compared to very low birth weight.The effect of treatment and the impact of the outcome.Results The study group had a success rate of 100%,a survival rate of 97.9%,a cure rate of 91.5%,a control group with a success rate of 90.8%,a survival rate of 84.6%,and a cure rate of 76.9%.The difference was statistically significant(P<0.05);the average hospital stay in the study group was(38.65±3.15)d,and the average hospital stay in the control group was(42.95±7.74)d,the difference was statistically significant(P<0.05);the study group was severely comorbid the rates were significantly lower than the control group(P<0.05);there was no significant difference in the disputes between the two groups(P>0.05).Conclusion Planned intrauterine transport can improve the success rate of delivery of very low birth weight infants,survival rate,survival rate of survivors,lower average hospitalization time and incidence of severe comorbidities,and ensure efficacy and prognosis.It is worthy of clinical application.

关 键 词：极低出生体重儿 计划性宫内转运 紧急性宫内转运 

分 类 号：R722[医药卫生—儿科]