CAJ | 학술논문

目的评价新疆2004年至10月至2012年12月开展新生儿复苏项目培训的效果,以及成立院内领导小组的必要性.方法对结合新疆特点制定的复苏培训方案在新疆的实施进行分析,对项目开展前后新疆新生儿窒息发生率和死亡率进行比较.对5所试点医院(省级医院2所,市级医院2所,县级医院1所)在试点前后新生儿窒息的发生率和死亡率的变化采用x2检验进行统计学分析.结果项目开展期间共培训6750人,覆盖全疆14个地区(州)及83个县.2004年与2009年、2010年与2012年及2004年与2012年新生儿窒息发生率比较差异均有统计学意义[5.93％(10 436/176 111)与3.39％(19 922/589 526),2.23％(7947/346 031)与2.65％(11 352/428 202),5.93％与2.65％,x2分别为23.00、95.14、39.00,P均＜0.01];2004年至2012年新生儿窒息死亡率分别为3.21‰(565/176 111)、3.99‰(773/193 698)、4.33‰(944/218 201)、4.00‰(911/227 693)、3.85‰(1054/273 541)和3.52‰(2074/589 526),2004年与2009年及2004年与2012年新生儿窒息死亡率比较差异均有统计学意义(x2分别为212.99和312.77,P均＜0.01).试点医院中省级、市级及县级医院新生儿窒息的发生率试点前分别为4.72％(269/5702)、2.54％(208/8193)及1.45％(26/1793),试点后分别为4.51％(350/7755)、1.72％(233/13 526)和0.92％(18/1965),省级医院试点前后新生儿窒息发生率差异无统计学意义(x2=0.32,P＞0.05),市级和县级医院试点前后差异均有统计学意义(x2=17.09和2.31,P分别＜0.01和0.05).试点医院新生儿复苏现场均无死亡病例报告.结论新生儿复苏项目在新疆的实施取得了显著的成绩,有效降低了新生儿窒息的发生率及死亡率,且有必要成立新生儿复苏院内领导小组.
목적 평개신강2004년지10월지2012년12월개전신생인복소항목배훈적효과,이급성립원내령도소조적필요성.방법 대결합신강특점제정적복소배훈방안재신강적실시진행분석,대항목개전전후신강신생인질식발생솔화사망솔진행비교.대5소시점의원(성급의원2소,시급의원2소,현급의원1소)재시점전후신생인질식적발생솔화사망솔적변화채용x2검험진행통계학분석.결과 항목개전기간공배훈6750인,복개전강14개지구(주)급83개현.2004년여2009년、2010년여2012년급2004년여2012년신생인질식발생솔비교차이균유통계학의의[5.93％(10 436/176 111)여3.39％(19 922/589 526),2.23％(7947/346 031)여2.65％(11 352/428 202),5.93％여2.65％,x2분별위23.00、95.14、39.00,P균＜0.01];2004년지2012년신생인질식사망솔분별위3.21‰(565/176 111)、3.99‰(773/193 698)、4.33‰(944/218 201)、4.00‰(911/227 693)、3.85‰(1054/273 541)화3.52‰(2074/589 526),2004년여2009년급2004년여2012년신생인질식사망솔비교차이균유통계학의의(x2분별위212.99화312.77,P균＜0.01).시점의원중성급、시급급현급의원신생인질식적발생솔시점전분별위4.72％(269/5702)、2.54％(208/8193)급1.45％(26/1793),시점후분별위4.51％(350/7755)、1.72％(233/13 526)화0.92％(18/1965),성급의원시점전후신생인질식발생솔차이무통계학의의(x2=0.32,P＞0.05),시급화현급의원시점전후차이균유통계학의의(x2=17.09화2.31,P분별＜0.01화0.05).시점의원신생인복소현장균무사망병례보고.결론 신생인복소항목재신강적실시취득료현저적성적,유효강저료신생인질식적발생솔급사망솔,차유필요성립신생인복소원내령도소조.
Objective To evaluate the effect of neonatal resuscitation training program from October 2004 to December 2012 in Xinjiang Uygur Autonomous Region and the necessity to establish a leading group within the hospital.Methods The neonatal resuscitation training program was carried out according to the protocol formulated based on the situation of Xinjiang.The incidence and mortality of neonatal asphyxia before and after the program in both of the whole region and of five pilot hospitals (two provincial hospitals,two municipal hospitals and one county level hospital) were compared with Chi-square test.Results The program covered 14 prefectures and 83 counties in Xinjiang,included 6750 persons.The incidence of neonatal asphyxia showed statistical difference between the year of 2004 and 2009,2010 and 2012,2004 and 2012 [5.93％(10 436/176 111) vs 3.39％(19 922/589 526),2.23％(7947/346 031) vs 2.65％(11 352/428 202),5.93％ vs 2.65％,x2=23.00,95.14,39.00,respectively,all P＜0.01].The mortalities of neonatal asphyxia from 2004 to 2012 were 3.21‰(565/176 111),3.99‰(773/193 698),4.33‰(944/218 201),4.00‰(911/ 227 693),3.85‰(1054/273 541) and 3.52‰(2074/589 526),respectively,which also showed a decreased tendency and had statistical differences between the year of 2004 and 2009,2004 and 2012 (x2 =212.99,312.77,all P＜0.01).The asphyxia incidence in provincial,municipal and county level hospitals before the training were 4.72％(269/5702),2.54％ (208/8193) and 1.45％(26/1793),respectively.After training,the figures changed to 4.51％(350/7755),1.72 ％ (233/13 526) and 0.92 ％ (18/1965) correspondingly.The incidence at municipal and county level hospital had statistical difference (x2=17.09 and 2.31,P＜0.01 and 0.05).There were no neonatal death was reported during resusitation.Conclusions The neonatal resuscitation program has made significant achievements in Xinjiang by decreasing the incidence and mortality of neonatal asphyxia effectively,and it is necessary to set up a leading group within the hospital.