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目的:充分利用我市现有的妇幼保健三级网络,建立区域性新生儿转运网,实施危重新生儿转运,降低新生儿死亡率和致残率。方法:以全市三级妇幼保健网络为基础,我市危重症新生儿救治中心与3所区级妇幼保健院及32家基层医院建立绿色通道。结果:768例转运病儿中治愈688例(治愈率89.58%),家长要求自动出院67例,死亡13例。转诊人数逐年增多,全市新生儿死亡率明显下降,由2000年的9.80‰下降到2005年的3.99‰,围产儿死亡率明显下降,由2000年的16.60‰下降到2005年的7.0‰。结论:充分发挥妇幼保健网络的作用,实施危重新生儿转运,促进网络单位包括三级救治中心医护质量的进一步提高,对降低新生儿病死率和致残率具有重要意义。
OBJECTIVE: To make full use of the existing three-level maternal and child health network in our city to establish a regional neonatal transport network to carry out critical newborn transport and reduce the neonatal mortality and morbidity. Methods: Based on the city’s three-level maternal and child health care network, the city’s critical care neonatal treatment center and three district-level MCH and 32 grassroots hospitals to establish a green channel. Results: 688 cases (cure rate: 89.58%) were cured in 768 cases of transfer sickness. Parents asked for automatic discharge in 67 cases and 13 deaths. The number of referrals increased year by year. The neonatal mortality rate dropped significantly from 9.80 ‰ in 2000 to 3.99 ‰ in 2005. The perinatal mortality rate dropped significantly from 16.60 ‰ in 2000 to 7.0 ‰ in 2005. Conclusion: It is of great significance to give full play to the role of maternal and child health care networks in the implementation of critical newborn transit and to promote the further improvement of the quality of medical care for network units, including tertiary care centers. It is of great significance to reduce neonatal mortality and morbidity.