摘要
目的评价中国新生儿窒息复苏培训项目的中期效果。方法20个项目省每省随机抽取4所不同级别的医院进行调查；每所医院随机抽取产科医生、儿科医生、助产士各1名进行问卷调查和操作考核，共抽取240名医务人员，实际参与调查238名。通过问卷、查阅医院记录、对医务人员进行模拟操作考核等评价医护人员受培训情况，分析新生儿窒息发生率及新生儿窒息死于分娩现场的发生率。结果80所被调查医院中，97．0％的产科、儿科和助产士接受过新生儿窒息复苏培训，操作考核的总合格率为72．7％。2003年至2006年新生儿窒息发生率从3．83％下降到2．76％（Χ^2=236．132，P〈0．01）；新生儿窒息死于分娩现场的发生率从3．08／万下降到2．06／万，但差异无统计学意义（Χ^2=2．694，P=0．101）。结论新生儿窒息复苏培训项目的实施促进了我国新生儿窒息复苏技术的推广，降低了新生儿窒息的发生率和死亡率。加强操作培训是今后新生儿窒息复苏培训的关键。
Objective To evaluate the midterm efficiency of the China neonatal resuscitation program. Methods Four hospitals of different levels of services in 20 provinces and 240 medical staffs, one obstetrician, one pediatrician, and one midwifery respectively in each hospital, were selected to participate in the evaluation with 2 medical staffs were excluded for some reasons. Questionnaires, medical records and manipulation skills examination were used to collect information of the training of medical staffs, the incidence of neonatal asphyxia and the death rate of the neonatal asphyxia on the birth spot. Results Among 238 medical staffs from 80 hospitals, 97.0% received neonatal resuscitation training. The overall passing rate of manipulation skills examination on neonatal resuscitation was 72. 7%. From 2003 to 2006, the incidence of neonatal asphyxia decreased from 3.83% to 2.76% （Χ^2=236.132, P〈0.01）, the death rate of the asphyxia newborns on the birth spot decreased from 3.08 to 2.06 per 10 000 live births, but the difference was not significant Χ^2=2. 694, P =0. 101）. Conclusions Neonatal resuscitation program promotes the expansion of the new neonatal resuscitation techniques and the providersr resuscitation skills, resulting in decreased rates of neonatal asphyxia and asphyxial mortality.
出处
《中华围产医学杂志》
CAS
2009年第6期409-412,共4页
Chinese Journal of Perinatal Medicine
基金
志谢：本研究得到了新生儿窒息复苏项目各位国家级专家的大力支持,特此致谢!
关键词
窒息
新生儿
复苏术
教育
专业
死亡率
Asphyxia neonatorum
Resuscitation
Education, professional
Mortality
