围产高危儿系统管理建立的作用
위산고위인계통관리건립적작용
Role of establishing the perinstal system management of high-risk infants
  • 万方数据
    国际医药卫生导报 국제의약위생도보
    INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
    2010年 2期 173-177 ,共5页

    宋燕燕%李桦%李坚%黄志坚%赵小朋%叶青青%邹红梅%李小晶%肖华%黄翠玲%高伟玲%高健群%吕俊健%陈燕霞%廖金花

    송연연%리화%리견%황지견%조소붕%협청청%추홍매%리소정%초화%황취령%고위령%고건군%려준건%진연하%료금화

    围产儿%高危儿%系统管理 圍產兒%高危兒%繫統管理
    위산인%고위인%계통관리
    Perinatal%High-risk infant%Model of system management
    目的 总结国产高危儿系统管理模式建立与其作用的研究.方法 回顾性调查自建立围产高危儿系统管理模式以来(1995至2008年)在我院分娩的新生儿及相关资料,分析高危儿出生后生活质量的主要指标,如围产期死亡率、窒息发生率、极低出生体重儿和超低出生体重儿存活率、发生中枢协调障碍的隔产因素、干预效果及随访问情况.结果 1995至2008年分娩数及高危妊娠数逐年增加,但围产儿死亡率、窒息率明显下降,极低和超低出生体重儿存活率不断提高;发生中枢协调障碍的各种高危因素,依次胎儿宫内窘迫(30.5%)、早期感染史(28.5%)、妊娠糖尿病者(27.8%)、足月小样儿(26.7%)、早产儿(25.8%)、新生儿窒息(25.0%)、新生儿缺血缺氧性脑病(23.1%)、妊娠早期阴道流血史(20.5%)、新生儿高胆红素血症(15.9%)等;系统管理高危儿较门诊对照组中中枢协调障碍患儿发现早、疗程短、疗效好.围产高危儿1年随访率85%,主要为早产儿和足月小样儿.结论 围产高危儿系统管理模式的建立能有效提高围产儿生活质量.
    목적 총결국산고위인계통관리모식건립여기작용적연구.방법 회고성조사자건립위산고위인계통관리모식이래(1995지2008년)재아원분면적신생인급상관자료,분석고위인출생후생활질량적주요지표,여위산기사망솔、질식발생솔、겁저출생체중인화초저출생체중인존활솔、발생중추협조장애적격산인소、간예효과급수방문정황.결과 1995지2008년분면수급고위임신수축년증가,단위산인사망솔、질식솔명현하강,겁저화초저출생체중인존활솔불단제고;발생중추협조장애적각충고위인소,의차태인궁내군박(30.5%)、조기감염사(28.5%)、임신당뇨병자(27.8%)、족월소양인(26.7%)、조산인(25.8%)、신생인질식(25.0%)、신생인결혈결양성뇌병(23.1%)、임신조기음도류혈사(20.5%)、신생인고담홍소혈증(15.9%)등;계통관리고위인교문진대조조중중추협조장애환인발현조、료정단、료효호.위산고위인1년수방솔85%,주요위조산인화족월소양인.결론 위산고위인계통관리모식적건립능유효제고위산인생활질량.
    Objective To explore role of establishing the perinatal system management of high-risk infants.Methods A retrospective survey was done from the gradual establishment of perinatal high-risk infants since the system management mode( 1995-2008 ),all hospitalized in our hospital and related neonatal birth information, analysis response after high-risk children quality of life in the management of key indicators, such as perinatal mortality rate, the incidence of asphyxia, low birth weight infants and extremely low birth weight infant survival, the occurrence of central coordination disorder of perinatal factors, intervention effects and high-risk infant follow-up.Results Delivery from 1995 to 2008, the number of year-on-year increase in the number of high-risk pregnancy, but the perinatal mortality rate showed a clear downward trend, asphyxia rate dropped to very low.The survival rate of very-low-birth-weight and extremely-low-birth-weight infants continue to improve; central coordination disorder occurred in a variety of risk factors, followed by fetal distress ( 30.5% ), mother of the history of early infection ( 28.5% ), ges-tational diabetes mothers( 27.8% ), full-term small for gestational age( 26.7% ), premature infants ( 25. 8%), neonatal asphyxia (25.0%), neonatal hypoxic-ischemic encephalopathy (23.1%), history of vaginal bleeding during early pregnancy ( 20.5% ), hyperbilirubinemia ( 15.9% ); and systems management in high-risk infants in the control group than the out-patient center coordination disorder found in children with early, short course, a good effect.Perinatal high-risk infants a year follow-up rate of 85% of them were premature and full-term small for gestational age.Conclusions Perinatal management of high-risk infants in the establishment of systems that can effectively improve the quality of perinatal life.
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