目的了解新生儿院前急救与转运网络系统对危重新生儿救治的实践情况。方法将我院经院前急救与转运的192例危重新生儿、早产儿的救治情况与同期住院的未经院前急救与转运的917例危重新生儿、早产儿(对照组)进行统计及比较分析。结果虽然两组在好转率、未愈率方面无统计学差异x2=1.68,x2=0.09(P>0.05),但是在院前转运组的痊愈率、病死率低于对照组,统计学分析有显著性差异x2=6.15,x2=4.11(P<0.05)。结论院前急救与转运对降低危重新生儿、早产儿的病死率起到了积极有效的作用,同时也提高了运转网络中基层医务人员对危重新生儿的医疗急救技术。 Objective To understand the neonatal prehospital emergency and transit network system for critically ill newborn care practice. Methods A total of 192 cases of critically ill newborns and premature infants undergoing pre-hospital emergency care and transportation in our hospital were compared with 917 cases of critically ill newborns and premature infants (control group) without prior hospital first aid and transportation. Results Although there was no significant difference in improvement rate and unhealed rate between the two groups, x2 = 1.68 and x2 = 0.09 (P> 0.05), but the cure rate and mortality in the prehospital transit group were lower than those in the control group Significant differences x2 = 6.15, x2 = 4.11 (P <0.05). Conclusions Prehospital first aid and transfusion play a positive and effective role in reducing the mortality of critically ill newborns and premature infants, and also improve the medical emergency medical skills of primary health care workers in critically ill newborns.