The effect of neonatal resuscitation training on the incidence of neonatal asphyxia and mortality
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摘要: 目的 探究新生儿复苏项目培训对窒息发生率、复苏成功率及窒息死亡率的影响。 方法 收集在温州医科大学附属第二医院产科分娩的发生窒息的1 502例患儿的临床资料,定义2000~2002年为对照组,2003~2005年为观察一组,2011~2013年为观察二组,比较分析3组新生儿窒息及极重度窒息发生率、复苏成功率、窒息死亡率、极重度窒息后缺氧缺血性脑病发生率。 结果 3组新生儿窒息的发生率分别为5.60%、4.53%和3.68%,差异均具有统计学意义(P<0.01)。3组新生儿窒息复苏成功率分别为79.3%、90.0%和90.2%,观察二组和观察一组分别与对照组比较,差异有统计学意义(P<0.01)。3组新生儿窒息死亡率分别2.69‰、1.51‰和1.14‰,观察二组与对照组比较,差异有统计学意义(P<0.01)。3组新生儿极重度窒息发生率分别为2.69‰,1.72‰以及1.27‰,3组两两比较,差异均有统计学意义(P<0.05)。3组新生儿极重度窒息复苏成功率分别为46.2%、75.0%和82.1%,3组两两比较,差异均有统计学意义(P<0.05),3组新生儿HIE发生率分别为33.3%、25.0%和21.7%,观察二组和观察一组分别与对照组比较,差异有统计学意义(P<0.05)。 结论 对相关科室医护人员进行新生儿复苏项目培训,可降低新生儿窒息发生率,提高复苏成功率,降低围产期新生儿死亡率和提高新生儿存活质量。Abstract: Objective To investigate the effect of neonatal resuscitation training program on the incidence of asphyxia,suffocation recovery success rate and mortality. Methods The clinical data of suffocation 1 502 patients in our hospital obstetric were collected from 2000 to 2005 and from 2011 to 2013.The data from 2000 to 2002 were defined as the control group,from 2003 to 2005 as first observation group,2011 to 2013 to second observation group,comparative analysis of three groups of neonatal asphyxia and very severe asphyxia,resuscitation success rate,mortality and asphyxia asphyxia after very severe hypoxic-ischemic encephalopathy incidence changes. Results Three groups of neonatal asphyxia incidence rates were 5.60%,4.53% and 3.68%,the difference was significant(P<0.01).Three neonatal resuscitation success rates were 79.3%,90.0% and 90.2%,second observation group and first observation group compared with the control group,the difference was statistically significant(P<0.01).Three groups of neonatal asphyxia mortality rate 2.69 ‰,1.51 ‰ and 1.14 ‰,observed two groups and the control group a significant difference(P<0.01).Three groups of newborns with very severe asphyxia was 2.69 ‰,1.72 ‰ and 1.27 ‰,three pairwise comparisons were significant difference(P<0.05).Three groups of newborns with very severe resuscitation success rates were 46.2%,75.0% and 82.1%,three pairwise comparisons were significant difference(P<0.05) three groups of neonatal HIE occurrence rates were 33.3%,25.0% and 21.7%,second observation group and first observation group compared with the control group,the difference was statistically significant(P<0.05). Conclusion The relevant departments of the hospital medical staff in neonatal resuscitation training program,our hospital can reduce the incidence of neonatal asphyxia,improve the success rate of recovery,reduce perinatal and neonatal mortality to improve the quality of neonatal survival.
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Key words:
- Neonatal asphyxia /
- Neonatal resuscitation program /
- Incidence rate /
- Mortality
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