基于S.T.A.B.L.E.原则的主动转运的危重新生儿的临床特征及预后分析  

Clinical characteristics and prognostic analysis of active transport of critically ill newborns based on principle of S.T.A.B.L.E.

作　　者：李敏 戴红臣 赵永 潘娜娜 叶玉兰 毛国顺 LI Min;DAI Hongchen;ZHAO Yong;PAN Nana;YE Yulan;MAO Guoshun(Department of Pediatrics,Fuyang People′s Hospital of Anhui Province,Fuyang,Anhui,236000)

机构地区：[1]安徽省阜阳市人民医院儿科,安徽阜阳236000

出　　处：《实用临床医药杂志》2022年第9期90-93,98,共5页Journal of Clinical Medicine in Practice

基　　金：2019年度安徽省阜阳市卫生健康委科研课题(FY2019-051)。

摘　　要：目的探讨基于S.T.A.B.L.E.原则的主动转运对危重新生儿临床特征及预后的影响。方法选取133例危重新生儿为研究对象,根据转运模式的不同分为对照组(被动转运模式)65例和观察组(基于S.T.A.B.L.E.原则的主动转运模式)68例。比较2组新生儿院前急救措施实施率和转运期间低体温发生率、低血糖发生率,转运后随访统计2组新生儿的治愈率。结果观察组实施呼吸道管理率89.71%、循环支持率83.82%、药物应用率57.35%、实验室检查率91.18%,分别高于对照组的61.54%、64.62%、29.23%、64.62%,差异有统计学意义(P<0.05);转运中,观察组低体温、低血糖的发生率为1.47%、1.47%,分别低于对照组的15.38%、12.31%,差异有统计学意义(P<0.05);观察组新生儿治愈率为72.06%,高于对照组的47.69%,差异有统计学意义(P<0.05)。结论转运危重症新生儿时选择基于S.T.A.B.L.E.原则的主动转运模式,能够规范急救措施,稳定新生儿转运期间体温、血糖,进而改善预后。Objective To explore the clinical characteristics and prognosis of the active transport of critically ill newborns based on principle of S.T.A.B.L.E.Methods A total of 133 critically ill newborns were collected as study objects,and were divided into control group(65 cases,passive transport mode)and observation group(68 cases,active transport mode based on S.T.A.B.L.E.principle).The implementation rate of first-aid measures for neonates before hospital,incidence rates of hypothermia and hypoglycemia during transport were compared between the two groups,and cure rates of the two groups were followed up after transport.Results The rate of respiratory management,circulating support rate,drug application rate and laboratory examination rate in the observation group were 89.71%,83.82%,57.35%and 91.18%,respectively,which were higher than 61.54%,64.62%,29.23%and 64.62%,respectively in the control group(P<0.05).During transport,the hypothermia rate was 1.47%and hypoglycemia rate was 1.47%in the observation group,which were lower than 15.38%,12.31%,respectively in the control group(P<0.05).The cure rate of the observation group was 72.06%,which was higher than 47.69%of the control group(P<0.05).Conclusion Active transport mode based on S.T.A.B.L.E.principle can standardize emergency measures,stabilize temperature and blood sugar during neonatal transport,and improve prognosis.

关 键 词：主动转运模式 危重 新生儿 临床特征 预后 

分 类 号：R722.19[医药卫生—儿科] R272.1[医药卫生—临床医学]