摘要
Abstract
Objective To evaluate the situation about carrying out neonatal resuscitation,equipments,personnel training in medical institutions and situations about newborn asphyxia and death in Zhejiang Province. Methods Five health care institutions (2 city-level and 3 county-level)were randomly selected from each city in total 11 cities. Questionnaire surveys were performed about carrying out neonatal resuscitations practice,personnel training and delivery room,operating room resuscitation equipments, situations about newborn asphyxia and death. Results In total of 49 hospitals from 10 cities were included in the survey. All of 49 (100%)hospitals had the ability to carry out neonatal resuscitation. Neonatologist or pediatrician would be the key personnel to resuscitate high-risk newborns in tertiary and secondary hospitals;89. 8% healthcare institutions would at least have one personnel trained for neonatal resuscitation at birth;the number of NICU in tertiary hospitals was more than that in secondary hospitals (87.0% vs34.6%,P =0.002),98.0% healthcare institutions would regularly deliver(or participant)neonatal resuscitation training. 79. 6% healthcare institutions would use training aids. Various confinements personnel training rate was above the county level but below hospital training rate(P<0. 001);Above the county level training pediatricians had the highest rate(P<0. 05). Delivery room neonatal resuscitation units equipped with airbags and radiation heat rate was 100%,laryngeal mask airway was with the lowest rate;theater masks newborn,neonatal resuscitation bag,laryngoscope,suction tube,endotracheal tube with a rate lower than the delivery room. Live birth per year showed a trend of increase year by year in tertiary and secondary hospitals from 2004 to 2010. Neonatal mortality rates and incidence of birth asphyxia declined in tertiary and secondary hospitals,and higher in tertiary. Severe asphyxia rate in secondary hospital was generally higher than that in tertiary hospital. Conclusion It's essential to establish regular and systematic training system,to enhance local medical personnel recovery skills and theoretical level,to purchase the necessary resuscitation equipments,and to improve neonatal resuscitation conditions for all level hospitals.关键词
新生儿窒息/医疗机构/复苏设备/培训现状调查Key words
Neonatal asphyxia/Medical institution/Resuscitation equipment/Training survey
