珠江三角洲新生儿转运网络工作报告

Report and evaluation on work of the neonatal transport network in the Pearl River (Zhujiang) Delta

目的 评价珠江三角洲新生儿转运网络（ｎｅｏｎａｔａｌｔｒａｎｓｐｏｒｔｎｅｔｗｏｒｋ， ＮＴＮ） 十年工作及其效果。方法 介绍新生儿转运网络方法及分析有关效果的资料。结果 转运网络现有８７ 家医院；１０ 年共转运急危重症新生儿８ １２４ 例，转运途中死亡３５ 例，病死率为０．４３％ ；第三级新生儿监护病房（ＮＩＣＵ）收容８ ０８９ 例，共死亡３６４ 例，病死率为４．５０ ％ ，ＮＴＮ 医院中总死亡率为２．０７‰。结论 该ＮＴＮ 所实行的运转机制合理适用；促进了网络单位包括三级ＮＩＣＵ 的发展与提高；建立ＮＴＮ是降低新生儿死亡率的重要措施。

Objective To report and evaluate the ten-year work and effect of the Neonatal Transport Network (NTN) in Pearl River (Zhujiang) Delta in Guangdong Province. Methods The NTN means of transportation were introduced and the clinic advantages of the transportation were analyzed.Results The NTN covers 87 hospitals in this area. 8 124 newborns were transported through the NTN in the past 10 years with a mortality of 0.43% on the road. 8 089 newborns were hospitalized in the third level neonatal intensive care unit (NICU), whose mortality was 4.50%. The mortality of the whole NTN hospitals was 2.07‰.Conclusions The working mechanism of the NTN is reasonable and applicable, which improves the neonatological treatment skills of NTN participants including the third level NICU. The NTN is an important step to the reduction of the mortality of neonates.