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目的探索提高基层新生儿复苏技术培训的方法。方法选取宁夏回族自治区新生儿窒息发生率较高的两个县区作为研究地区,对研究地区进行调查,内容包括新生儿窒息发生率、窒息死亡率、业务人员的知识知晓率及复苏流程操作的掌握程度,采取驻县专家蹲点的形式,定期深入助产机构,对相关业务人员进行新生儿复苏技术现场培训。结果培训后业务人员知识知晓率及复苏流程操作的掌握程度与培训前相比明显提高(t=6.223,P=0.000;t=6.538,P=0.000);新生儿窒息发生率由2.07%下降至1.48%(χ2=7.41,P=0.006),窒息死亡率由164.43/10万下降至54.63/10万(χ2=4.03,P=0.044 7)。结论采取驻县专家蹲点的形式,定期对县级以上医疗保健机构相关业务人员进行新生儿复苏技术现场培训指导,有助于基层人员新生儿复苏技能的提高,有利于降低新生儿窒息发生率和窒息死亡率。
Objective To explore ways to improve the training of primary neonatal resuscitation. Methods Two counties with high incidence of neonatal asphyxia in Ningxia Hui Autonomous Region were selected as the research areas to investigate the study area, including the incidence of neonatal asphyxia, asphyxia mortality, the knowledge of business staff and the operation of the recovery process Grasp the degree to take the county experts in the form of months of regular visits to the midwifery institutions on a regular basis, the relevant business personnel on the neonatal resuscitation techniques on-site training. Results After the training, the awareness of operational staff and the mastery of recovery operation were significantly higher than those before training (t = 6.223, P = 0.000; t = 6.538, P = 0.000); the incidence of neonatal asphyxia decreased from 2.07% 1.48% (χ2 = 7.41, P = 0.006). The death rate of asphyxia decreased from 164.43 / 100000 to 54.63 / 100000 (χ2 = 4.03, P = 0.0447). Conclusion Adopting the long stay of experts in the county, regular on-site training and guidance on the neonatal resuscitation technology for the relevant personnel in medical and health care institutions above the county level is helpful to improve the resuscitation skills of grassroots personnel, reduce the incidence of neonatal asphyxia and Asphyxia mortality.