摘要
目的：评价在农村基层医院开展新生儿窒息复苏培训项目的效果。方法：于2009年对我市县级医院以下农村基层医院参与新生儿窒息复苏的儿科医生、产科医生、助产士等进行新生儿窒息复苏培训,将培训前后各一年（2008年与2010年）新生儿窒息发生率和死亡率进行对比评价。结果：2008年和2010年开展新生儿窒息复苏培训前后比较：新生儿窒息发生率从4.53%下降至2.69%（χ~2=158.66,P〈0.01）,死亡率由2.53%下降至0.93%（χ~2=7.24,P〈0.01）。结论：对农村基层医院开展新生儿窒息培训项目十分必要,可促进我国新生儿窒息复苏技术在农村基层医院的推广应用,对降低农村基层新生儿窒息的发生率和死亡率十分重要。
Objective：To evaluate the efficiency of the neonatal resuscitation program in rural primary hospital.Methods：The pediatrician、obstetrician、midwifery respectively in rural primary hospital of Yangzhou were trained the neonatal resuscitation in 2009,Certificates were gived the peoples who passing the exam.To analysis the incidence of neonatal asphyxia and the death rate the year before and after training（2008年与2010年）.Results：From 2008 to 2010,the incidence of neonatal asphyxia decreased from 4.53%to 2.69%（χ~2= 158.66,P0.01）,the death rate decreased from 2.53%to 0.93%（χ~2=7.24,P0.01）.Conclusion：The neonatal resuscitation program is necessary for rural primary hospital.It can promote the expansion of the national neonatal resuscitation techniques in rural primary hospital,resulting in decresed rates of neonatal asphyxia and rates of death.
关键词
基层医院
新生儿窒息
培训效果
rural primary hospital
asphyxia of newborn straining effects
