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目的:探讨新生儿窒息复苏技术在基层医院的推广应用效果。方法:选取新生儿窒息复苏技术推广应用前笔者所在医院2011年1-12月收治的2139例新生儿作为对照组,另选新生儿窒息复苏技术推广应用后2012年1月-2013年1月收治的2253例新生儿作为研究组,对比两组新生儿临床资料,比较两组新生儿重度窒息发生率、窒息死亡率、致残率、窒息并发症发生率以及复苏用药率。结果:对照组重度窒息发生率、窒息死亡率和窒息致残率分别为2.81%、0.93%、0.93%,而研究组分别为1.78%、0.44%和0.44%,比较差异均有统计学意义(P<0.05)。研究组新生儿窒息率为15.98%,显著低于对照组的23.38%,且研究组新生儿缺氧缺血性脑病发生率和窒息复苏用药率分别为0.89%和0.89%,显著低于对照组的1.87%和1.87%,比较差异均有统计学意义(P<0.05)。结论:在基层医院推广应用新生儿窒息复苏技术,可显著降低农村基层新生儿重度窒息发生率、窒息死亡率、窒息致残率、窒息并发症发生率以及窒息复苏用药率等。
Objective: To explore the popularization and application of neonatal asphyxia recovery technology in primary hospitals. Methods: Select neonatal asphyxia recovery technology to promote the use of the author’s hospital from January 2011 to December 2011 treated 2139 newborns as a control group, alternative neonatal asphyxia recovery technology to promote the application of January 2012-January 2013 treatment Of 2253 newborns as the research group. The clinical data of two groups of neonates were compared. The incidences of severe asphyxia, apnea mortality, disability, apnea complications and resuscitation rates were compared between the two groups. Results: The incidence of severe asphyxia, asphyxia and asphyxia in the control group were 2.81%, 0.93% and 0.93%, respectively, while those in the study group were 1.78%, 0.44% and 0.44%, respectively P <0.05). In the study group, the rate of neonatal asphyxia was 15.98%, which was significantly lower than that of the control group (23.38%). The rates of neonatal hypoxic-ischemic encephalopathy and asphyxia resuscitation in the study group were 0.89% and 0.89%, respectively, significantly lower than those in the control group 1.87% and 1.87%, respectively, with statistical significance (P <0.05). Conclusion: Popularization and application of neonatal asphyxia recovery technology in primary hospitals can significantly reduce the incidence of severe asphyxia, asphyxia mortality, asphyxia, asphyxia, asphyxia and resuscitation rates in rural grassroots newborns.