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目的:研究高原地区危重新生儿转运网络模式的方法与措施,并对通过其救治的危重新生儿的效果进行评价、分析。方法:对2012年1月—2014年12月通过主动转运(NICU和不同地区新生儿救治中心相结合)和被动转运(NICU和不同地区新生儿转运中心相结合)两种方式转运至我院的危重新生儿资料进行整理,分析转运网络建设的有效性及影响转运网络建设的主要因素。结果:主动转运组抢救成功率由2012年84.97%上升至2014年94.6%,有显著差异性;P﹤0.01,被动转运组抢救成功率提升不明显,2=0.53,P>0.05,无差异性;主动转运路程<30km抢救成功率由2012年88.48%上升至95.58%,(30~100)km抢救成功率由2012年61.36%上升至90.60%,两组间比较,P<0.01,有显著差异性。结论:在高原经济落后地区,建立规范的新生儿转运系统(NETS)的同时,在不同地区建立新生儿救治中心和新生儿转诊中心,是提高本地区危重新生儿转运成功率降低死亡率的关键。
OBJECTIVE: To study the methods and measures of critically ill neonatal transport network in plateau area and to evaluate and analyze the effects of critically ill newborns through their treatment. METHODS: Transmitted to our hospital from January 2012 to December 2014 via both active transfer (NICU and neonatal treatment centers in different regions) and passive transfer (NICU and neonatal transit centers in different regions) Critically ill newborns to sort out the data to analyze the effectiveness of transport network construction and the main factors affecting the transport network construction. Results: The success rate of rescue operation in active transfer group increased from 84.97% in 2012 to 94.6% in 2014, with significant difference (P <0.01). The success rate of rescue in passive transfer group was not obvious (2 = 0.53, P> 0.05) ; The success rate of emergency rescue <30km rescue increased from 88.48% to 95.58% in 2012, and the success rate of rescue (30-100km) increased from 61.36% to 90.60% in 2012, with a significant difference between the two groups (P <0.01) difference. Conclusions: Establishing a standardized neonatal transport system (NETS) in economically underdeveloped plateau areas and setting up neonatal treatment centers and neonatal referral centers in different regions is to increase the success rate of critically ill newborn children and reduce mortality in this region The essential.