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目的:了解区域性危重新生儿转运系统的远期治疗效果, 更好地优化转运网络和转运手段。方法: 对10年来该院转运的危重新生儿进行大规模的远期随访(共计2 285例, 占转运的患儿人数的49 .41% ), 采用丹佛智力发育量表(DDST)、畸变产物耳声发射测试(DPOAE) 和听性脑干反应(ABR) 对随访儿进行智力、体格发育评估。结果: 绝大部分转运的危重新生儿生长发育正常。在确诊听力障碍的患儿中, 重度窒息3名, 重度HIE6名, 早产儿3名; 出现智力发育障碍69名患儿均有重度窒息, 中、重度HIE病史。对智力发育障碍婴儿全部由该院儿童保健科和神经康复专科医生进行针对性治疗,总异常率由3个月时的14. 52%下降到2岁时的3 .27%, P<0 .01, 有非常显著性差异。结论: 规范的区域性危重新生儿转运系统运作大大改善了转运的危重新生儿的预后和生存质量; 必须在转运过程中尽快稳定病情, 出院后认真进行随访工作, 对随访中存在体格、智力发育障碍的患儿早期进行干预。
OBJECTIVE: To understand the long-term treatment effect of regional critically ill neonatal transport system and optimize the transport network and means of transport. METHODS: Large-scale long-term follow-up of critically ill newborns transplanted in the hospital over the past 10 years (a total of 2285 cases, accounting for 49.41% of the patients transplanted) was performed using the Denver Mental Developmental Scale (DDST), Distortion Products Otoacoustic Emissions Test (DPOAE) and Auditory Brainstem Response (ABR) were assessed for intellectual and physical development in follow-up children. Results: The majority of critically ill newborn infants were normal growth and development. Among the children diagnosed with hearing impairment, severe asphyxia 3, severe HIE 6, and premature infants 3; 69 children with mental retardation have severe asphyxia, moderate and severe HIE history. All infants with mental retardation were treated by the Department of Child Health and Neurological Rehabilitation Specialists in this hospital. The total abnormal rate decreased from 14. 52% at 3 months to 3.27% at 2 years old, P <0. 01, there is a very significant difference. CONCLUSIONS: The standardized operation of regional critical newborn transit system has greatly improved the prognosis and quality of life of critically ill newborn infants. The condition must be stabilized as soon as possible during the transportation and be followed up carefully after discharge. There is physical and mental development during follow-up Children with disorders intervene early.