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目的了解中国新生儿窒息复苏培训项目实施四年以来,医疗保健机构的新生儿窒息复苏设备、药品配备及人员复苏技术掌握情况。方法在20个项目省中,每省随机抽取4所不同级别的医院进行调查,共调查80所医院;对医院的产房、手术室新生儿窒息复苏设备和药品配备情况进行调查;每所医院随机抽取产科医生、儿科医生、助产士各一名进行操作考核,共调查240名医务人员。结果80所医疗保健机构产房新生儿复苏气囊、新生儿面罩、辐射保温台以及新生儿咽喉镜的配备率均在95%以上,而手术室有13.7%未配备新生儿复苏气囊、16.3%未配备辐射保温台。胎粪吸引管的配备率普遍较低,产房为47.5%,手术室仅为28.8%。医务人员操作考核总合格率为72.7%,其中助产士的合格率最高。医务人员在羊水污染时进行气管插管、初步复苏、正压人工呼吸、胸外按压等环节的得分率较低。结论新生儿窒息复苏培训项目的实施促进了医疗保健机构新生儿窒息复苏工作的实施。采取措施普及胎粪吸引管的使用,提高产房新生儿窒息复苏设备的配备率。重视复苏理念的建立、增加操作训练是今后新生儿窒息复苏培训的关键。
Objectives To understand the neonatal asphyxia resuscitation equipment, pharmaceutical equipment and personnel resuscitation skills of the health care institutions since the implementation of the training program for neonatal asphyxia recovery in China four years ago. Methods In 20 project provinces, 4 hospitals at different levels were randomly selected in each province for investigation. A total of 80 hospitals were surveyed. The facilities for the investigation of neonatal asphyxia and resuscitation in the delivery room and operating room of the hospital were investigated. Each hospital was randomly assigned An obstetrician, a pediatrician and a midwife were selected to conduct an operational assessment and a total of 240 medical staff were investigated. Results The equipment rates of neonatal resuscitation balloon, neonatal mask, radiation holding table and neonatal laryngoscope were all above 95% in 80 health care facilities, while 13.7% were not equipped with neonatal resuscitation balloon in operating room and 16.3% were not equipped Radiation insulation Taiwan. Meconium aspiration tube equipment rate is generally low, delivery room was 47.5%, operating room was only 28.8%. The total passing rate of medical staff assessment was 72.7%, of which the highest pass rate of midwives. Medical staff tracheal intubation amniotic fluid pollution, initial resuscitation, positive pressure artificial respiration, chest compression and other links of the lower scoring rate. Conclusion The implementation of the neonatal asphyxia recovery training project has promoted the implementation of neonatal asphyxia recovery in healthcare institutions. To take measures to popularize the use of meconium aspiration tube to improve the delivery rate of neonatal asphyxia recovery equipment in the delivery room. Attach importance to the establishment of the concept of recovery, increase operational training is the key to the training of neonatal asphyxia recovery in the future.