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【目的】探讨基层医疗机构新生儿窒息复苏培训模式。【方法】对新生儿窒息新法复苏培训前后新会区基层医疗机构以及新会区妇幼保健院1836例窒息新生儿病例进行回顾性分析。【结果】通过新生儿窒息新法复苏培训,全区新生儿窒息发生率、窒息死亡率由1998年的3.8%、2.77‰下降到2007年的1.27%、1.22‰;本院新生儿窒息发生率、窒息死亡率由1998年的5.92%、3.44‰下降到2007年的1.82%、0.99‰。【结论】新生儿窒息新法复苏培训可显著降低全区新生儿窒息发生率以及窒息死亡率,卫生行政部门干预、制定和不断完善培训计划是推广的关键,产儿科紧密合作是推广实施新法复苏培训的正确途径。
【Objective】 To explore the training mode of neonatal asphyxia resuscitation in primary medical institutions. 【Methods】 A retrospective analysis of 1836 neonates with asphyxia before and after the resuscitation training of neonatal asphyxia new-district grass-roots medical institutions and MCH hospitals in Xinhui District were conducted. 【Results】 The neonatal asphyxia and asphyxia mortality rate decreased from 3.8% and 2.77% in 1998 to 1.27% and 1.22% in 2007 respectively. The incidence of neonatal asphyxia, Asphyxia mortality dropped from 5.92% in 1998 to 3.82% in 2007 to 0.99% in 2007. 【Conclusion】 The resuscitation training of neonatal asphyxia new method can significantly reduce the incidence of neonatal asphyxia and asphyxia mortality in the whole region. The intervention of health administration department, the formulation and continuous improvement of training program are the key to popularize. Close cooperation of pediatrics department is to promote the implementation of resuscitation training The right way.