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目的回顾分析院内新生儿复苏领导小组工作对降低新生儿窒息发生率和死亡率的作用,为探索新生儿复苏培训长效机制提供参考依据。方法收集2011-2016年衡阳市所有县级及以上助产机构院内新生儿复苏领导小组工作情况,分析培训、督导及新生儿窒息病例评审等情况。结果 2011-2016年新生儿窒息发生率由3.10%下降至1.85%(χ2=182.21,P<0.001),新生儿窒息死亡率由162.99/10万下降至30.99/10万(χ2=51.27,P<0.001),发生率和死亡率变化有统计学意义。结论院内新生儿窒息复苏领导小组加强了操作技能培训,增加产儿科合作,可以有效降低新生儿窒息发生率和窒息死亡率。
Objective To retrospectively analyze the role of leading group of neonatal resuscitation in hospital in reducing the incidence of neonatal asphyxia and mortality, and to provide a reference for exploring the long-term mechanism of resuscitation training in neonates. Methods The work of leading group of neonatal resuscitation in hospital of all county-level and above midwifery institutions in Hengyang from 2011 to 2016 was collected and the cases of training, supervision and neonatal asphyxia were analyzed. Results The incidence of neonatal asphyxia decreased from 3.10% to 1.85% in 2011-2016 (χ2 = 182.21, P <0.001), and neonatal asphyxia mortality decreased from 162.99 / 100000 to 30.99 / 100000 (χ2 = 51.27, P < 0.001), the incidence and mortality changes were statistically significant. Conclusions The leading group for hospital neonatal asphyxia recovery has strengthened the operation skills training and increased pediatric cooperation, which can effectively reduce the incidence of neonatal asphyxia and asphyxia mortality.