淮北地区205例新生儿转运临床分析

王辉; 王先鹤; 陈文香; 周怡

doi:10.16766/j.cnki.issn.1674-4152.003032

淮北地区205例新生儿转运临床分析

doi: 10.16766/j.cnki.issn.1674-4152.003032

王辉^1, ,,
王先鹤¹,
陈文香¹,
周怡²

1.
淮北市妇幼保健院新生儿科，安徽淮北 235000
2.
安徽省妇女儿童保健中心新筛科，安徽合肥 230000

基金项目:

安徽省卫生健康委科研项目 AHWJ2021a029

详细信息

通讯作者:
王辉，E-mail：57525123@qq.com

中图分类号: R722 R197.323.2
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- 文章访问数: 167
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- PDF下载量: 4
- 被引次数: 0
出版历程
- 收稿日期: 2022-11-11
- 网络出版日期: 2023-08-26

Clinical analysis of 205 neonatal transfer in Huaibei area

1.
Department of Neonatology, Maternal and Child Health Hospital of Huaibei, Huaibei, Anhui 235000, China

摘要

摘要: 目的探讨淮北地区新生儿转运现状，以进一步提高新生儿转运效率。方法选取2017年1月—2020年12月淮北市妇幼保健院对淮北市及周边市县205例新生儿的转运临床资料，回顾性分析转运新生儿疾病种类、年转运量、转运医院分布情况。结果 205例转运新生儿中，4例转出，转运途中无一例死亡，治愈率为98.05%，转出率为1.95%。转运新生儿疾病前5位为新生儿肺炎45例(21.95%)；新生儿窒息41例(20.00%)；新生儿高胆红素血症32例(15.61%)；早产儿25例(12.20%)；新生儿感染13例(6.34%)。转运年份，2017年为63例，2018年为70例，2019年为26例，2020年为46例。呼叫转运医院分布为三级医院15例(7.35%)，二级医院57例(27.94%)，一级医院132例(64.71%)。结论淮北地区新生儿急救转运系统的建立提高了新生儿急救管理水平，基层医院需重视新生儿呼吸系统管理，加强新生儿复苏培训。
- 淮北地区 /
- 新生儿转运 /
- 临床分析
Abstract: Objective This study aimed to investigate the status of neonatal transfer in Huaibei area to improve the efficiency of neonatal transfer. Methods From January 2017 to December 2020, the Huaibei Maternal and Child Health Hospital conducted a total of 205 cases of neonatal transfer clinical data in Huaibei City and surrounding cities and counties, including the diseases-type of transferred cases, hospitalisation time and annual transfer quantity, and the status of neonatal transfers in Huaibei area was analysed by statistical methods. Results A total of 205 cases were transferred in and 4 cases were transferred out. The cure rate was 98.05%; the transfer out rate was 1.95%, and no death was reported during transfer. Among the 205 cases of transported children, the most frequent was neonatal pneumonia in 45 cases (21.95%); followed by neonatal asphyxia in 41 cases (20.00%); then neonatal hyperbilirubinemia in 32 cases (15.61%); In addition, 25 cases (12.20%) of premature infants were identified; 13 cases (6.34%) of neonatal infections. A total of 63, 70, 26 and 46 cases were reported in 2017, 2018, 2019 and 2020, respectively. The distribution of call transfer hospitals includes 15 cases in tertiary hospitals, accounting for about 7.35%; 57 cases in secondary hospitals, accounting for 27.94% and 132 cases in primary hospitals, accounting for about 64.71%. Conclusion At present, the neonatal transfer in Huaibei Maternal and Child Health Hospital is still in its initial stage, and attention should be paid to and further strengthened, particularly the construction of neonatal transfer in primary hospital.
- Huaibei area /
- Neonatal transfer /
- Clinical analysis

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表 1 新生儿转运的病种分布及转归[例(%)]

Table 1. Disease distribution and outcome of neonatal transfer [cases (%)]

病种	例数	转归
病种	例数	治愈	转出
新生儿肺炎	45(21.95)	43(95.56)	2(4.44)
新生儿窒息	41(20.00)	41(100.00)	0
新生儿高胆红素血症	32(15.61)	32(100.00)	0
早产儿	25(12.20)	25(100.00)	0
新生儿感染	13(6.34)	13(100.00)	0
黄疸	12(5.85)	12(100.00)	0
新生儿呕吐	12(5.85)	12(100.00)	0
其他	25(12.20)	23(92.00)	2(8.00)
合计	205(100.00)	201(98.05)	4(1.95)
注：其他包含新生儿低体温症3例，低出生体重儿3例，新生儿青紫3例，皮肤出血瘀斑2例，新生儿呼吸窘迫综合征2例，癫痫1例，新生儿败血症1例，新生儿重度贫血1例，新生儿腹胀1例，梅毒母亲婴儿1例，新生儿缺氧缺血性脑病1例，新生儿胎粪吸入综合征1例，新生儿呼吸衰竭1例，先天性巨细胞病毒感染1例，食管闭锁术后1例，新生儿皮疹1例，新生儿喂养不当1例。

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表 2 本地区各年份新生儿转运量及死亡情况

Table 2. The number of neonatal transfer and deaths in the region in each year

年份	全市分娩量(个)	转运情况^a	全年新生儿死亡情况^b
2017	29 486	0.21	0.28
2018	26 019	0.27	0.19
2019	23 291	0.11	0.19
2020	17 428	0.26	0.10
注：本地区死亡人数及死亡率来源于信息科上报数据。各年份比较，χ²=1.225，^aP=0.884;χ²=1.002, ^bP=0.961。

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表 3 呼叫新生儿转运医院分布情况

Table 3. The distribution of newborn transfer hospitals calls

呼叫转运医院类型	例数(%)	进行呼吸支持[例(%)]		转运患儿转归[例(%)]
呼叫转运医院类型	例数(%)	是	否	治愈	转出
三级医院	15(7.35)	7(46.67)	8(53.33)	14(93.33)	1(6.67)
二级医院	57(27.94)	32(56.14)	25(43.86)	57(100.00)	0
一级医院	132(64.71)	38(28.79)	94(71.21)	129(97.73)	3(2.27)
合计	204(100.00)	77(37.75)	127(62.25)	200(98.04)	4(1.96)

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