摘要
目的:探讨佛山市镇级医院新生儿窒息复苏的现状及改进措施。方法:由行政领导、产科、新生儿科专家组成调研小组深入被调查的14间医院,查看原始分娩记录,与新生儿窒息复苏相关人员座谈、提问、答卷,实地考察产房、手术室、产科、儿科等部门。结果:佛山市镇级医院新生儿窒息的发生率为2.75%,在国内处于较低水平。分娩数多的医院新生儿窒息的发生率明显低于分娩数少的医院。在所调查的8个项目中有6个项目存在严重问题,分别是复苏的认知程度、复苏人员的组织、复苏人员的培训计划、复苏药物的规范使用、气管插管技术、复苏的实际效果。结论:采取行政、技术双向指导是提高基层医院、特别是分娩数少的医院新生儿窒息复苏水平实际有效的方法。
Objective： To probe into the current status of asphyxia resuscitation of the newborns and the improving measure in township - level hospitals of Foshan municipality. Methods： Organize an expert panel consisting of local administrative officials, obstetricians, and deontologists , to conduct a in- depth research on 14 target hospitals surveyed, through original childbirth record check, Q＆A seminars with those involved in the process of newborns asphyxia resuscitation , and on - the - spot examination of the obstetric and pediatric sections, as well as of the delivery rooms and operating rooms, etc. Results： The occurring rate of newborns asphyxia in Foshan township - level hospitals was remained at a relatively low level of 2. 75% domestically, and the hospitals with higher delivery rate enjoyed obviously lower asphyxia occurring rate than those with lower. Among the 8 scopes covered in the research, the following 6 scopes were found existing of serous problems： 1. cognition level of resuscitation ; 2. organization of professional stuff on newborns resuscitation; 3. training plan of the stuff; 4. standardized use of resuscitation drug; 5. endotracheal intubation skill; 6. tangible effect of resuscitation. Conclusion： A combination of administrative and technical guidance is proved to be the practically effective method to enhance the resuscitation level of newborns asphyxia in grassroot hospitals, especially, in those with low delivery rate.
出处
《中国妇幼保健》
CAS
北大核心
2006年第18期2560-2562,共3页
Maternal and Child Health Care of China
关键词
新生儿窒息
复苏
调查
基层医院
Newborns asphyxia, Resuscitation, Research, Grass root hospitals
