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目的:探讨西宁地区经新生儿窒息复苏规范化培训后产儿科协作新法复苏的效果。方法:收集产儿科协作规范复苏培训前后3年在我院分娩的所有活产新生儿资料,以美国第4版《新生儿窒息复苏教材》(NRP)中译本为培训资料,推广应用规范化复苏技术,对我院2001年—2007年出生的287例窒息新生儿进行调查,比较分析培训前后新生儿窒息的复苏效果。结果:对培训前后各3年的窒息新生儿分为两组进行分析比较,两者窒息发生率差别有显著性,χ2=14.435,P<0.01;复苏成功率两者差别有显著性,χ2=4.30,P<0.05;窒息病死率两组比较差别亦有显著性,χ2=4.295,P<0.05。结论:通过加强参与复苏人员的技能培训,加强产儿科协作,规范的复苏技能操作可有效降低高海拔地区新生儿窒息发生率,提高新生儿窒息复苏成功率,从而降低新生儿窒息病死率。
Objective: To explore the effect of resuscitation of neonatal pediatric co-operation after standardized training of neonatal asphyxia recovery in Xining area. Methods: Collect all live birth newborns in our hospital 3 years before and after pediatric co-ordination regimen training, and use the Chinese Version 4 NRP as a training material to promote the use of standardized resuscitation techniques , Investigated 287 neonates with asphyxia born in our hospital from 2001 to 2007 and compared the effect of resuscitation of neonatal asphyxia before and after training. Results: The neonatal asphyxia of 3 years before and after training were divided into two groups for analysis and comparison. The difference of asphyxia between the two groups was significant (χ2 = 14.435, P <0.01). The success rate of resuscitation was significantly different between the two groups (χ2 = 4.30, P <0.05; Asphyxia mortality was also significant difference between the two groups, χ2 = 4.295, P <0.05. CONCLUSIONS: By strengthening skills training of resuscitators, strengthening pediatric co-operation and standard resuscitation skills can effectively reduce the incidence of neonatal asphyxia and improve the success rate of neonatal asphyxia resuscitation so as to reduce neonatal asphyxia mortality.