复苏技术培训与新生儿窒息病死率下降的关系

RELATIONSHIP BETWEEN THE TRAININGBEFORE DUTY AND THE DECLINE IN THEMORTALITY OF NEONATAL ASPHYXIA

１９８７～１９９２年采取复苏技术的培训以来，对我院在此期间收治的新生儿窒息患儿共１９０５例，其中死亡７４例，病死率６．８％，除了体重＜１５００９、孕周＜３２周外，其他各组病死率下降明显（Ｐ＜０．０１或０．０５）。说明病死率下降与开展复苏技术培训有密切关系。培训方法：（１）手把手带教，先在尸体上操作，有陪伴医师指导，直到熟练掌握复苏方案后再上岗；（２）为各县市基层办班，培训中除掌握复苏技能外，还需要加强普及新生儿专业基础知识，给予装备必要的复苏器械是很重要的。

AbstractFrom 1987 to 1992, 1905 cases of neonatalasphyxia occurred in our hospital and 74 cases died ofasphyxia tmortality 6.8%). The results of the studyshowed that expcept for those with birth weight <1500g and gestational age < 32 weeks the mortality ofinfants greatly descreased. The decline of the mortalityof birth asphyxia was closely associated with trainingbefore duty. The methods of training: (1) under theguidance of experienced doctors, junior doctors exer-cise practised the resuscitation proeedures on theneonatal copose: they were allowed to work on dutyonly after mastering the techniques skilfolly; (2) ourhospital organized training courses for county (city)and basic units. In addition to mastening resuseitationtechniques, both the strengthening of the basicknowledge of neonatal specialty and the instrumentsessential for resuscitation arevery important.