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目的:通过宁波市乡、县、市三级网络化分级管理的模式对户籍早产儿进行早期干预及系统管理,探讨此管理模式对早产儿生存质量的影响。方法:制定宁波市早产儿分级管理办法,利用宁波市妇幼保健电子监测信息管理系统进行网络化的系统管理,通过对制定前后有关早产儿生存质量指标变化的分析,了解此管理模式对早产儿生存质量的影响。结果:1宁波市户籍人口中早产儿的发生率逐年增加,由2011年的4.82%上升到2014年的5.31%,早产儿的系统管理率也从2011年80.51%增加到2014的88.08%;2宁波市婴儿死亡率逐年下降,由制定前2010年的3.77‰降至2014的2.45‰,因早产因素死亡数占早产儿数的比例由2011年的1.46%下降到2014年的0.54%;3早产儿中神经心理发育异常发生率由2011年的5.21%下降到2014年的2.63%。结论:通过三级网络化分级管理的模式对早产儿进行有效的早期干预及系统管理,可以大大提高早产儿的生存质量,是切实可行的适合基层早产儿早期干预及系统管理的管理模式。
OBJECTIVE: To conduct early intervention and systematic management of preterm infants with hukou status through three levels of network-level hierarchical management mode of Ningbo city, county and city to explore the impact of this management mode on the quality of life of premature infants. Methods: To establish a standardized management system for preterm infants in Ningbo and to use network management system of Ningbo Maternal and Child Health Electronic Monitoring Information Management System to analyze the changes of quality of life indicators before and after prenatal and postnatal care. Quality impact. Results: 1 The incidence of premature infants in Ningbo registered population increased year by year from 4.82% in 2011 to 5.31% in 2014, and the rate of systematic management of premature infants increased from 80.51% in 2011 to 88.08% in 2014; 2 The infant mortality rate in Ningbo dropped year by year from 3.77 ‰ in pre-2010 to 2.45 ‰ in 2014. The proportion of premature deaths due to premature births dropped from 1.46% in 2011 to 0.54% in 2014. 3 Preterm birth The incidence of neuropsychiatric dysplasia in children dropped from 5.21% in 2011 to 2.63% in 2014. CONCLUSION: Effective early intervention and systematic management of premature infants through the three-level networked hierarchical management mode can greatly improve the quality of life of premature infants and is a feasible management mode suitable for early intervention and system management of primary preterm infants.