中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2015年
3期
539-542
,共4页
顾建明%李鸿斌%陆平%丁燕
顧建明%李鴻斌%陸平%丁燕
고건명%리홍빈%륙평%정연
民营一级医院%新生儿复苏%人员设备%现状
民營一級醫院%新生兒複囌%人員設備%現狀
민영일급의원%신생인복소%인원설비%현상
private primary hospital%neonatal resuscitation%personnel equipment%current status
目的：了解民营一级医院新生儿复苏情况。方法通过调查表、现场考察核实、档案资料筛查等方法,调查41家民营一级医院新生儿复苏人员配备、设备、培训、新生儿窒息死亡儿童抢救处理、危重儿转送等情况。结果41家医院产妇数占全市产妇总数的58.20%(7100/12200)。妇产科医务人员199人,其中执业医师145人,中级及以上职称者82人,专职儿科医生35人。均配备有较齐全的新生儿复苏设备。新生儿复苏专题培训1次,现场考核合格率为36.59%(15/41),按产妇人数分类：≥300例的医院合格率为77.78%(7/9)、200~299例的医院合格率为20%(1/5)、100~199例的医院合格率为45.45%(5/11)、1~99例的医院合格率为12.5%(2/16),差异有统计学差异(χ2=11.55,P<0.05)。年度新生儿窒息死亡率为9.79/万(12/12257),有高危因素者占91.67%(11/12),75%的新生儿窒息得到复苏处理(9/12),44.44%的复苏处理记录规范(4/9)。60.98%的医院选择救护车转送危重新生儿(25/41)。结论基层、农村是新生儿复苏推广应用的重点,民营一级医院务必贯彻落实新生儿复苏指南(2011年北京修订),卫生行政部门务必加强宏观调控,构建新生儿复苏培训与救治体系。
目的：瞭解民營一級醫院新生兒複囌情況。方法通過調查錶、現場攷察覈實、檔案資料篩查等方法,調查41傢民營一級醫院新生兒複囌人員配備、設備、培訓、新生兒窒息死亡兒童搶救處理、危重兒轉送等情況。結果41傢醫院產婦數佔全市產婦總數的58.20%(7100/12200)。婦產科醫務人員199人,其中執業醫師145人,中級及以上職稱者82人,專職兒科醫生35人。均配備有較齊全的新生兒複囌設備。新生兒複囌專題培訓1次,現場攷覈閤格率為36.59%(15/41),按產婦人數分類：≥300例的醫院閤格率為77.78%(7/9)、200~299例的醫院閤格率為20%(1/5)、100~199例的醫院閤格率為45.45%(5/11)、1~99例的醫院閤格率為12.5%(2/16),差異有統計學差異(χ2=11.55,P<0.05)。年度新生兒窒息死亡率為9.79/萬(12/12257),有高危因素者佔91.67%(11/12),75%的新生兒窒息得到複囌處理(9/12),44.44%的複囌處理記錄規範(4/9)。60.98%的醫院選擇救護車轉送危重新生兒(25/41)。結論基層、農村是新生兒複囌推廣應用的重點,民營一級醫院務必貫徹落實新生兒複囌指南(2011年北京脩訂),衛生行政部門務必加彊宏觀調控,構建新生兒複囌培訓與救治體繫。
목적：료해민영일급의원신생인복소정황。방법통과조사표、현장고찰핵실、당안자료사사등방법,조사41가민영일급의원신생인복소인원배비、설비、배훈、신생인질식사망인동창구처리、위중인전송등정황。결과41가의원산부수점전시산부총수적58.20%(7100/12200)。부산과의무인원199인,기중집업의사145인,중급급이상직칭자82인,전직인과의생35인。균배비유교제전적신생인복소설비。신생인복소전제배훈1차,현장고핵합격솔위36.59%(15/41),안산부인수분류：≥300례적의원합격솔위77.78%(7/9)、200~299례적의원합격솔위20%(1/5)、100~199례적의원합격솔위45.45%(5/11)、1~99례적의원합격솔위12.5%(2/16),차이유통계학차이(χ2=11.55,P<0.05)。년도신생인질식사망솔위9.79/만(12/12257),유고위인소자점91.67%(11/12),75%적신생인질식득도복소처리(9/12),44.44%적복소처리기록규범(4/9)。60.98%적의원선택구호차전송위중신생인(25/41)。결론기층、농촌시신생인복소추엄응용적중점,민영일급의원무필관철락실신생인복소지남(2011년북경수정),위생행정부문무필가강굉관조공,구건신생인복소배훈여구치체계。
Objective To analyze the neonatal resuscitation in private primary medical institutions in Rugao. Methods Questionnaire, field investigation and archives screening methods were used to survey personnel, equipment, training, rescue treatment of neonatal asphyxia and transferring infants with critical illness in 41 private primary medical institutions. Results The number of lying-in women in these 41 hospitals accounted for 58. 20% (7 100/12 200) of the total number in the city. There were 199 personnel in the department of obstetrics and gynecology, including 145 practicing physicians, 82 staff with intermediate or above professional title, and 35 full-time pediatric physicians. Good neonatal resuscitation equipments were equipped. Neonatal resuscitation training was held for one time, and the pass rate of on-site examination was 36. 59% (15/41). Classified by number of lying-in women, the pass rate of the hospital with more than 300 lying-in women was 77. 78% (7/9), that of the hospital with 200-299 lying-in women was 20% (1/5), that of the hospital with 100-199 lying-in women was 45. 45% (5/11), and that of the hospital with 1-99 lying-in women was 12. 5% (2/16). The difference among them was significant (χ2 =11. 55,P<0. 05). Annual asphyxia neonatal mortality was 9. 79/10 000 (12/12 557), including 91. 67% with high risk factors (11/12). Resuscitation treatment was provided for 75% (9/12) newborns with asphyxia, and 44. 44% (4/9) of them were normatively recorded. There were 60. 98% hospitals choosing to transfer high-risk newborns with ambulance. Conclusion The countryside is the key of neonatal resuscitation promotion. The Neonatal Resuscitation Guidelines ( 2011 amended in Beijing ) must be implemented in private primary medical institutions. Health administrative department should strengthen macro-regulation and build a neonatal resuscitation training and treatment system.
