微信实时远程视频评估体系在危重新生儿转运中的研究与应用  

Research and Application of WeChat Real-Time Remote Video Assessment System in Dangerous Re-Transport

作　　者：邓秀丽 黄以琛 陈锐 DENG Xiuli;HUANG Yichen;CHEN Rui(Department of Emergency,Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region,Nanning Guangxi 530000,China;Department of Pediatrics,Capital Medical University,Beijing 100069,China)

机构地区：[1]广西壮族自治区妇幼保健院急诊科,广西南宁530000 [2]首都医科大学儿科学系,北京100069

出　　处：《中国卫生标准管理》2023年第15期27-30,共4页China Health Standard Management

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20210209)。

摘　　要：目的探讨微信实时远程视频评估体系在危重新生儿转运中的应用效果。方法选择2021年3月—2022年10月广西壮族自治区妇幼保健院急诊科转诊的新生儿450例为对象,随机数字表法分为对照组和观察组。对照组150例采用电话沟通方式评估,观察组300例采用微信实时远程视频评估体系。观察组交替选择新生儿危重病例评分(neonatal critical case score,NICS)组和新生儿转运生理稳定指数(neonatal transport physiological stability ndex,TRIPS)评估进行危重评分,分为NICS组和TRIPS组两个亚组,各150例。比较两组稳定时间、机械通气时间及平均住院时间、转运不良事件发生率、死亡率及入院7 d内的死亡率。结果两组平均住院时间比较,差异无统计意义(P>0.05);观察组危重新生儿转运中生命体征稳定时间、机械通气时间短于对照组(P<0.05)。观察组根据评分系统不同进行分析,NICS组及TRIPS组生命体征稳定时间、平均住院时间比较,差异无统计意义(P>0.05);NICS组危重新生儿转运中评分所需时间长于TRIPS组(P<0.05);NICS组机械通气时间低于TRIPS组(P<0.05)。两组总转运不良事件发生率比较,差异无统计学意义(P>0.05);观察组入院7 d内死亡率低于对照组(P<0.05)。结论微信实时远程视频评估体系用于危重新生儿转运中可获得良好的效果,且TRIPS评估体系更加便捷、简洁。Objective To explore the application effect of WeChat real-time remote video assessment system in the transport of critical newborns.Methods A total of 450 neonates referred to the department of emergency,Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region from March 2021 to October 2022 were selected as the subjects.They were randomly divided into the control group and the observation group.150 cases in the control group were evaluated using telephone communication,while 300 cases in the observation group were evaluated using WeChat real-time remote video evaluation system.The observation group alternated between the neonatal critical case score(NICS)group and the neonatal transport physiological stability index(TRIPS)group for critical assessment.They were divided into two subgroups,the NICS assessment group and the TRIPS assessment group,with 150 cases each.Compare the stability time,mechanical ventilation time,average hospital stay,incidence of adverse transport events,mortality rate,and mortality rate within 7 days of admission between the two groups.Results There was no statistically significant difference in average hospitalization time between the two groups(P>0.05).The stable time of vital signs and mechanical ventilation in the transport of critically ill newborns in the observation group was shorter than that in the control group(P<0.05).The observation group was analyzed based on different scoring systems,and there was no statistically significant difference in vital sign stabilization time,average hospitalization time between NICS groups and TRIPS group(P>0.05).The time required for critical neonatal transport scoring in the NICS group was longer than that in the TRIPS group(P<0.05),mechanical ventilation time in NICS group was shorter than that in TRIPS group(P<0.05).There was no statistically significant difference in the incidence of total transport adverse events between the two groups(P>0.05).The mortality rate within 7 days of admission in the observation group was lower than

关 键 词：微信实时远程视频评估体系 危重新生儿转运 不良事件 电话沟通 死亡率 危重评分 

分 类 号：R725[医药卫生—儿科]