论文部分内容阅读
目的评价新生儿窒息复苏技术在临床应用中的效果。方法我院于2010年开始建立新生儿窒息复苏评价体系,包括成立院内新生儿窒息复苏领导小组,医务人员对复苏技术规范培训及复训,按照复苏流程进行复苏后的效果评价。选择在本院出生的新生儿为研究对象,2008—2009年为对照组,2010—2011年为观察组,比较两组新生儿窒息发生率及窒息病死率,对观察组病例进行复苏后效果评价。结果观察组轻度窒息及重度窒息发生率均低于对照组(2.79%比4.84%,0.30%比0.55%,P均<0.01)。观察组复苏流程临床应用正确率:快速评估和正压通气100%,正压通气加心脏按压91.4%,气管插管90.6%,药物95.2%。结论对复苏技术临床应用效果进行评价,可促进医务人员熟练掌握复苏流程并正确操作,能有效降低新生儿窒息发生率。
Objective To evaluate the effect of neonatal asphyxia resuscitation in clinical application. Methods The evaluation system of neonatal asphyxia recovery was established in our hospital in 2010, including the establishment of the leading group of neonatal asphyxia recovery in the hospital, the training and re-training of medical staff on technical specifications of resuscitation and the evaluation of the effect after resuscitation according to the resuscitation process. Select the newborn born in our hospital as the research object, 2008-2009 as the control group, 2010-2011 as the observation group, compared the incidence of neonatal asphyxia and asphyxia mortality in the two groups, the effect of the observation group after the resuscitation evaluation . Results The incidence of mild asphyxia and severe asphyxia in observation group were lower than those in control group (2.79% vs 4.84%, 0.30% vs 0.55%, P <0.01 respectively). The correct rate of clinical application of observation group recovery process: rapid assessment and positive pressure ventilation 100%, positive pressure ventilation plus heart compression 91.4%, tracheal intubation 90.6%, 95.2% of drugs. Conclusion The evaluation of clinical application of resuscitation techniques can promote medical staff to master the resuscitation process and correct operation, which can effectively reduce the incidence of neonatal asphyxia.