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目的:评价新生儿窒息复苏技术在临床应用中的效果。方法:建立新生儿窒息复苏评价体系:成立院内新生儿窒息复苏领导小组,医务人员对复苏技术规范的培训及复训,按照复苏流程进行复苏后的效果评价。选择分娩出生时发生窒息的新生儿为研究对象,根据建立新生儿窒息复苏评价体系前、后分为观察组(2010年1月~2011年12月)和对照组(2008年1月~2009年12月),比较两组新生儿窒息发生率及窒息病死率,对观察组病例进行复苏后效果评价。结果:观察组轻度窒息及重度窒息发生率均低于对照组(χ2=127.19,15.99;P均<0.01)。观察组复苏流程临床应用正确率:快速评估和正压通气100%,正压通气加心脏按压91.4%,气管插管90.6%,药物95.2%。结论:对复苏技术临床应用效果进行评价,可促进医务人员熟练掌握复苏流程并正确操作,能有效的降低新生儿窒息发生率。
Objective: To evaluate the effect of neonatal asphyxia recovery technique in clinical application. Methods: To establish a newborn asphyxia recovery evaluation system: the establishment of the hospital leading group of neonatal asphyxia recovery, medical staff training and rehabilitation training technical specifications, according to the recovery process after the recovery effect evaluation. According to the establishment of neonatal asphyxia recovery evaluation system before and after the observation group (January 2010 ~ December 2011) and the control group (January 2008 ~ 2009 December), compared the incidence of neonatal asphyxia and asphyxia mortality in two groups, the observation group after the recovery effect evaluation. Results: The incidence of mild asphyxia and severe asphyxia in observation group were lower than those in control group (χ2 = 127.19, 15.99; P <0.01). The correct rate of clinical application of observation group recovery process: rapid assessment and positive pressure ventilation 100%, positive pressure ventilation plus heart compression 91.4%, tracheal intubation 90.6%, 95.2% of drugs. Conclusion: The evaluation of clinical application of resuscitation techniques can promote medical staff to master the resuscitation process and correct operation, which can effectively reduce the incidence of neonatal asphyxia.