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目的:通过全面调查湖北省孝感市住院新生儿,了解孝感市目前住院新生儿疾病谱和转归,为进一步针对性发展新生儿医疗提供基础信息及指导。方法:利用网络填表直报的方式采集2010年01月1日～2010年12月31日孝感市17所医院共7030例住院新生儿的临床资料。结果:①住院新生儿男女性别比为1.875:1;②早产儿发生率3.73%,住院新生儿中早产儿占23.81%,其中晚期早产儿17.62%,平均胎龄34.68±1.505周,平均体重2383.834±59.649克,住院早产儿不同胎龄和不同出生体重的死亡率比较均有统计学差异(P<0.05);③以新生儿出院第一诊断统计排名前3位的疾病分别是新生儿病理性黄疸、新生儿窒息、新生儿肺炎,孝感市不同级别医院及不同区域医院新生儿住院疾病构成有差别(P<0.05);④住院新生儿呼吸系统病例3368例(3368∕7030),呼吸衰竭252例、有创通气30例、无创通气146例,转运313例,死亡47例;⑤转归:除去转院736例(占住院新生儿10.47%),近期预后良好6016例(占住院新生儿85.58%),近期预后不良278例(占住院新生儿3.95%),包括在院死亡136例。结论:应加强早产儿和住院新生儿呼吸系统疾病的诊治管理,根据不同地域不同级别医院制定新生儿专业的发展方向,从而提高新生儿医学整体水平。
Objective: To investigate the newborns in Xiaogan City, Xiaogan City, Hubei Province, a comprehensive survey of the current inpatient neonatal disease spectrum and outcome, in order to further targeted the development of newborns medical treatment to provide basic information and guidance. METHODS: The clinical data of 7030 hospitalized newborns from 17 hospitals in Xiaogan City from January 1, 2010 to December 31, 2010 were collected by means of online form-filling and direct reporting. Results: ① The male to female ratio of in-hospital newborns was 1.875: 1. The incidence of premature infants was 3.73%, and the rate of preterm infants in hospitalized neonates was 23.81%, of which 17.62% was late preterm infants, with an average gestational age of 34.68 ± 1.505 weeks and an average weight of 2383.834 ± 59.649g. There was a significant difference in the mortality rate of preterm infants with different gestational age and different birth weight (P <0.05); ③ The first three cases of discharge from neonatal discharge were the pathological changes of neonatal pathology Jaundice, neonatal asphyxia, neonatal pneumonia, Xiaogan City, different levels of hospitals and hospitals in different regions of the hospital neonatal disease composition difference (P <0.05); ④ Inpatient neonatal respiratory system 3368 cases (3368/7030), respiratory failure 252 Among them, there were 30 cases of invasive ventilation, 146 cases of noninvasive ventilation, 313 cases of transfusion and 47 cases of death. ⑤ Outcomes: 736 cases (accounting for 10.47% of hospitalized newborns) were removed, and the recent prognosis was 6016 (85.58% ), The recent poor prognosis of 278 cases (accounting for 3.95% of hospitalized newborns), including 136 cases of hospital deaths. Conclusion: The diagnosis and management of respiratory diseases in premature infants and in-hospital newborns should be strengthened. According to the development direction of new-born specialties in different levels and hospitals in different regions, the overall level of new-born medicine should be improved.