摘要
目的探讨淮北地区新生儿转运现状,以进一步提高新生儿转运效率。方法选取2017年1月—2020年12月淮北市妇幼保健院对淮北市及周边市县205例新生儿的转运临床资料,回顾性分析转运新生儿疾病种类、年转运量、转运医院分布情况。结果205例转运新生儿中,4例转出,转运途中无一例死亡,治愈率为98.05%,转出率为1.95%。转运新生儿疾病前5位为新生儿肺炎45例(21.95%);新生儿窒息41例(20.00%);新生儿高胆红素血症32例(15.61%);早产儿25例(12.20%);新生儿感染13例(6.34%)。转运年份,2017年为63例,2018年为70例,2019年为26例,2020年为46例。呼叫转运医院分布为三级医院15例(7.35%),二级医院57例(27.94%),一级医院132例(64.71%)。结论淮北地区新生儿急救转运系统的建立提高了新生儿急救管理水平,基层医院需重视新生儿呼吸系统管理,加强新生儿复苏培训。
Objective This study aimed to investigate the status of neonatal transfer in Huaibei area to improve the efficiency of neonatal transfer.Methods From January 2017 to December 2020,the Huaibei Maternal and Child Health Hospital conducted a total of 205 cases of neonatal transfer clinical data in Huaibei City and surrounding cities and counties,including the diseases-type of transferred cases,hospitalisation time and annual transfer quantity,and the status of neonatal transfers in Huaibei area was analysed by statistical methods.Results A total of 205 cases were transferred in and 4 cases were transferred out.The cure rate was 98.05%;the transfer out rate was 1.95%,and no death was reported during transfer.Among the 205 cases of transported children,the most frequent was neonatal pneumonia in 45 cases(21.95%);followed by neonatal asphyxia in 41 cases(20.00%);then neonatal hyperbilirubinemia in 32 cases(15.61%);In addition,25 cases(12.20%)of premature infants were identified;13 cases(6.34%)of neonatal infections.A total of 63,70,26 and 46 cases were reported in 2017,2018,2019 and 2020,respectively.The distribution of call transfer hospitals includes 15 cases in tertiary hospitals,accounting for about 7.35%;57 cases in secondary hospitals,accounting for 27.94%and 132 cases in primary hospitals,accounting for about 64.71%.Conclusion At present,the neonatal transfer in Huaibei Maternal and Child Health Hospital is still in its initial stage,and attention should be paid to and further strengthened,particularly the construction of neonatal transfer in primary hospital.
作者
王辉
王先鹤
陈文香
周怡
WANG Hui;WANG Xianhe;CHEN Wenxiang;ZHOU Yi(Department of Neonatology,Maternal and Child Health Hospital of Huaibei,Huaibei,Anhui 235000,China;不详)
出处
《中华全科医学》
2023年第6期989-991,1068,共4页
Chinese Journal of General Practice
基金
安徽省卫生健康委科研项目(AHWJ2021a029)。
关键词
淮北地区
新生儿转运
临床分析
Huaibei area
Neonatal transfer
Clinical analysis