中国急救医学
中國急救醫學
중국급구의학
CHINESE JOURNAL OF CRITICAL CARE MEDICINE
2014年
10期
953-956
,共4页
王琪(综述)%钟晓云(审校)
王琪(綜述)%鐘曉雲(審校)
왕기(종술)%종효운(심교)
新生儿%复苏%指南%现状
新生兒%複囌%指南%現狀
신생인%복소%지남%현상
Neonate%Resuscitation%Guideline%Current status
为指导新生儿复苏,美国心脏病协会和美国儿科协会制订了新生儿复苏指南,并在循证医学研究的基础上每5年修订一次,直到最新的第六版。自上世纪90年代初以来,我国新生儿窒息复苏方案已基本与国际指南接轨,窒息的发生率和死亡率也显著减少,但一些地区依照指南的窒息复苏规范还未落实,存在产儿科制度不全、设备配备不足、“经验性”复苏、培训不能坚持等问题,本文就新版指南主要进展解读与我国目前新生儿复苏现状的差距及改进的可能途径进行探讨。
為指導新生兒複囌,美國心髒病協會和美國兒科協會製訂瞭新生兒複囌指南,併在循證醫學研究的基礎上每5年脩訂一次,直到最新的第六版。自上世紀90年代初以來,我國新生兒窒息複囌方案已基本與國際指南接軌,窒息的髮生率和死亡率也顯著減少,但一些地區依照指南的窒息複囌規範還未落實,存在產兒科製度不全、設備配備不足、“經驗性”複囌、培訓不能堅持等問題,本文就新版指南主要進展解讀與我國目前新生兒複囌現狀的差距及改進的可能途徑進行探討。
위지도신생인복소,미국심장병협회화미국인과협회제정료신생인복소지남,병재순증의학연구적기출상매5년수정일차,직도최신적제륙판。자상세기90년대초이래,아국신생인질식복소방안이기본여국제지남접궤,질식적발생솔화사망솔야현저감소,단일사지구의조지남적질식복소규범환미락실,존재산인과제도불전、설비배비불족、“경험성”복소、배훈불능견지등문제,본문취신판지남주요진전해독여아국목전신생인복소현상적차거급개진적가능도경진행탐토。
As a guideline of neonatal resuscitation , American Heart Association (AHA) and American Academy of Pediatrics ( AAP ) published the first version of Neonatal Resuscitation Program ( NRP) .After that the NRP was updated every five years according to evidence -based medicine , and now the sixversion was published .Since 1990's, neonatal resuscitation in our country get basically close to international guide , then asphyxia incidence and death rate has been markedly decreased .However , in some regions, the neonatal resuscitation according to guideline of NRP has not been fully carried out , the possible reason including incomplete Obstetrics and Pediatrics system , insufficient equipment and staff, lacking of communication of NRP experience and NRP training .This article focuses on the following points:the key points of new version NRP , the current status of neonatal resuscitation in our country and the probable way to improve the current status of neonatal resuscitation in our country .