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目的:通过分析高危儿的随访情况以提高随访率,使高危儿管理更加规范化、科学化。方法:对2008年9月8日～2010年9月9日到该院高危儿随访专科就诊的高危儿1 268例进行研究,分析其高危因素的具体构成比、各类高危因素患儿随访次数、失访情况及原因。结果:高危因素中早产或低出生体重、窒息或缺血缺氧性脑病、高胆红素血症、颅内出血为前4位因素,所占的比例高达88.5%;仅随访1次的高危儿占54.6%,随着高危儿年龄的增长,各类高危因素患儿的失访率均增高明显;失访原因以家长对随访重要性认识不足为主要原因。结论:完善高危儿系统管理,定期总结随访情况,加大对高危儿家长的健康教育活动,对降低失访率,减少后遗症的发生率有重要意义。
OBJECTIVE: To improve the follow-up rate by analyzing the follow-up of high-risk infants and make the management of high-risk infants more standardized and scientific. Methods: From September 8, 2008 to September 9, 2010, 1,268 high-risk infants admitted to the hospital for treatment of high-risk infants were studied. The specific composition of risk factors, the number of follow-up of various risk factors , Lost and reasons for the loss. Results: The risk factors of preterm birth or low birth weight, asphyxia or hypoxic-ischemic encephalopathy, hyperbilirubinemia, intracranial hemorrhage were the first four factors, accounting for as high as 88.5%; only high-risk children were followed up Accounting for 54.6%. With the increase of the age of high-risk children, the rate of loss of all kinds of children with high risk factors increased significantly. The reason of losing children was mainly due to the lack of understanding of the importance of follow-up. Conclusion: Improving the system management of high-risk infants, summarizing the follow-up situation regularly, and increasing the health education activities for parents of high-risk infants are of great significance in reducing the rate of loss of follow-up and reducing the incidence of sequelae.