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【目的】推广新生儿复苏技术,探讨复苏管理要点,降低新生儿窒息死亡率。【方法】回顾性分析2004-2012年北京市朝阳区23家助产机构推广新生儿窒息复苏技术,建立高危儿转诊网络。【结果】全区新生儿窒息率由3.40%降低到1.01%,围产儿死亡率由10.22‰降低到5.76‰;分析三个级别助产机构新生儿窒息率,2012年与2008年比较,一级和民营医院、二级医院、三级医院,新生儿窒息率的降幅分别为69.53%、42.08%、51.48%。【结论】建立培训基地,政府主导,建立长效机制,注重基层医院培训与管理是降低全区新生儿窒息率的关键。
【Objective】 To popularize neonatal resuscitation technology, discuss the main points of resuscitation management and reduce neonatal asphyxia mortality. 【Methods】 A retrospective analysis of 23 midwifery institutions in Chaoyang District of Beijing from 2004 to 2012 to promote neonatal asphyxia resuscitation techniques and establish a referral network for high-risk infants was conducted. 【Results】 The rate of neonatal asphyxia decreased from 3.40% to 1.01% and the rate of perinatal mortality decreased from 10.22 ‰ to 5.76 ‰. The rates of neonatal asphyxia in three levels of midwifery were analyzed. In 2012 and 2008, And private hospitals, secondary hospitals, tertiary hospitals, neonatal asphyxia decreased by 69.53%, 42.08%, 51.48%. 【Conclusion】 Establishing a training base, leading by the government, establishing a long-term mechanism and paying attention to the training and management of grass-roots hospitals are the keys to reducing the rate of newborn asphyxia in the whole district.