某三级综合医院全住院新生儿流行病学调查  

Epidemiological survey of all newborns in Tertiary General Hospital

作　　者：肖雅倩 韩文[2] 张丽丽[3] 苏雅洁 张慧 李龙 Xiao Yaqian;Han Wen;ZHANG Lili;SU Yajie;ZHANG Hui;LI Long(Medical College of Shihezi University,Shihezi,832000,Xinjiang,China;Central Hospital of Karamay,Karamay,Xinjiang,834000,China;People's Hospital of Bayingolin Mongolian Autonomous Prefecture,Korla,Xinjiang,841000,China;Children's Hospital of Xinjiang Uygur Autonomous Region,Urumqi,830001,China)

机构地区：[1]石河子大学医学院,新疆石河子832000 [2]克拉玛依市中心医院,新疆克拉玛依834000 [3]巴音郭楞蒙古自治州人民医院,新疆库尔勒841000 [4]新疆维吾尔自治区儿童医院,乌鲁木齐830001

出　　处：《新疆医学》2023年第1期79-82,共4页Xinjiang Medical Journal

基　　金：新疆维吾尔自治区卫生健康青年医学科技人才专项科研项目(项目编号:WJWY-202119)。

摘　　要：目的通过调查新疆维吾尔自治区人民医院新生儿科住院新生儿的构成及围产信息,了解三级综合医院新生儿科的救治能力和存在问题,为提高全疆新生儿的诊疗水平、降低住院新生儿死亡率提供参考。方法建立数据库,回顾性收集2019年1月1日-2019年12月31日新疆维吾尔自治区人民医院新生儿科住院新生儿的围产相关信息、母亲孕期情况,分析住院新生儿的结局指标。结果(1)全年共收治1616名新生儿,男女性别比为1.29∶1。本院出生1213例(75.1%),外院转入403例(24.9%)。早产儿565例(35.0%),低出生体重儿(出生体重<2500 g)384例(23.8%);(2)共收治早期新生儿1342例(83.0%),晚期新生儿274例(17.0%)。本院收治患儿早期新生儿共1133例(93.4%)高于外院转入早期新生儿209例(51.9%)(χ^(2)=370.779,P<0.001);(3)入院患儿中,母亲剖宫产1095例(67.8%),本院剖宫产人数893例(73.6%)高于外院转入202例(50.1%)(χ^(2)=76.438,P<0.001)。母亲有妊娠期合并症及并发症1002例(62.0%),本院877例(73.6%)高于外院转入125例(31.0%)(χ^(2)=218.830,P<0.001)。1 minApgar评分小于7分患儿中,本院99例(8.2%)低于外院转入84例(20.8%)(χ^(2)=48.450,P<0.001);(4)住院新生儿的转归,治愈好转率91.6%,其中窒息患儿治愈好转率84.9%(χ^(2)=11.212,P=0.001)。病死率1.4%,其中窒息患儿病死率4.7%(χ^(2)=15.513,P<0.001)。结论三级综合医院收治新生儿以早期新生儿为主,产妇妊娠合并症及并发症比例高,新生儿救治能力强,但需要加强基层医院围产期的保健及提高新生儿复苏技能。Objective To investigate the composition and perinatal information of hospitalized newborns in the Department of Neonatology of the people’s Hospital of Xinjiang Uygur Autonomous Region,and to understand the treatment ability and existing problems of the Department of Neonatology in the tertiary general hospital,so as to provide reference for improving the diagnosis and treatment level of newborns in Xinjiang and reducing the mortality of hospitalized newborns.Methods A database was established to retrospectively collect the perinatal information and maternal pregnancy status of newborns hospitalized in the people’s Hospital of Xinjiang Uygur Autonomous Region from January 1,2019 to December 31,2019.Results(1)A total of 1616 newborns were treated in the whole year,and the ratio of male to female was 1.29∶1.1213 cases(75.1%)were born in our hospital and 403 cases(24.9%)were transferred from other hospitals.There were 565 premature infants(35.0%)and 384 low birth weight infants(birth weight<2500 g)(23.8%);(2)A total of 1342 cases(83.0%)of early neonates and 274 cases(17.0%)of late neonates were treated.1133 cases(93.4%)early neonates were treated in our hospital,which was higher than 209 cases(51.9%)transferred from other hospitals(χ^(2)=370.779,P<0.001);(3)Among the hospitalized children,1095 cases(67.8%)had cesarean section from their mothers,and 893 cases(73.6%)had cesarean section in our hospital,which was higher than 202 cases(50.1%)transferred from other hospitals(χ^(2)=76.438,P<0.001).There were 1002 cases(62.0%)pregnancy complications and complications during pregnancy.877 cases(73.6%)in our hospital were higher than 125 cases(31.0%)transferred from other hospitals(χ^(2)=218.830,P<0.001).Among the children with Apgar score less than 7 in 1 minute,99 cases(8.2%)in our hospital were lower than 84 cases(20.8%)transferred from other hospitals(χ^(2)=48.450,P<0.001);(4)The cure and improvement rate of hospitalized newborns was 91.6%,and the cure and improvement rate of asphyxia children was 84.9%(χ^(2)

关 键 词：住院新生儿 流行病学调查 疾病 

分 类 号：R722.1[医药卫生—儿科]