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目的探讨分析基层综合医院对高危儿的管理工作。方法将2010年10月至2012年9月(开诊前)在深圳市龙岗区第二人民医院出生的403例高危儿以及2012年10月至2014年9月(开诊后)出生的361例高危儿列为第一组临床观察对象,分别对其进行体检率和系统管理率等的指标检测;将2012年以后接诊的120例高危儿列为第二组临床观察对象,并将其随机分为观察组和对照组,每组60例,对观察组实施加强管理,对照组只实施普通管理,然后对其进行身长、头围、体质量、新生儿行为神经测定(NBNA,含0~1岁神经运动20项检查)以及智能发育筛查(DST)等的检测;各组的观察时段分别为高危儿出生后的1、3、6、9、12个月。结果第一组临床观察对象中,开诊前出生的403例高危儿的体检率为51%,系统管理率为32%;开诊后出生的361例高危儿的体检率为86%,系统管理率为67%。第二组临床观察对象中,观察组中60例高危儿的平均身长、平均头围、平均体质量、NBNA及DST检测数据等较对照组的高危儿更趋于正常;总体来说,观察组中高危儿的管理效果明显优于对照组,差异有统计学意义(P<0.05)。结论在基层综合医院的高危儿管理工作中,应当重点加强管理模式,有效改善高危儿的生存状况和发育状况。
Objective To analyze and analyze the management of high-risk children in primary general hospitals. Methods From October 2010 to September 2012 (pre-diagnosis), 403 high-risk infants were born in Second People’s Hospital of Longgang District, Shenzhen City, and 361 cases were born from October 2012 to September 2014 High risk infants as the first group of clinical observation object, respectively, the physical examination rate and system management rate of indicators such as detection; 120 cases of post-2012 access to high-risk infants as the second group of clinical observation and randomized The observation group and the control group were divided into observation group and control group, with 60 cases in each group. The observation group was administered intensively while the control group was only managed under ordinary conditions. Then its length, head circumference, body weight, neonatal behavioral nerve assay (NBNA, 1-year-old neurological exercise 20 items), and intelligent developmental screening (DST). The observation periods of each group were 1, 3, 6, 9 and 12 months after birth. Results Among the first group of clinical observation subjects, 403 high-risk infants born before the pre-doctor’s visit had a 51% medical examination rate and a system management rate of 32%; 361 high-risk infants born after the doctor’s visit had a medical examination rate of 86% The rate was 67%. Among the second group of clinical observation subjects, the average height, average head circumference, average body weight, NBNA and DST test data of 60 high-risk children in the observation group tended to be more normal than those in the control group. Overall, the observation group The management effect of middle-high risk children was obviously better than that of the control group, the difference was statistically significant (P <0.05). Conclusions In the management of high-risk infants in primary general hospitals, we should focus on strengthening the management mode to effectively improve the survival status and development status of high-risk infants.