摘要
目的探讨不同转运方式新生儿临床及转归情况。方法对2009年7月至2010年7月转至青岛大学医学院新生儿重症监护室(neonatal intensive care unit,NICU)1027例新生儿行前瞻性分析。按转运方式不同分双程转运、求助医院单程转运和家属单程转运。比较三组患儿入院情况、院前急救措施和出院情况等。计量资料行X^2检验、计数资料行方差分析、转归情况行Mann Whitney U检验统计学处理。结果双程转运、求助医院单程转运和家属单程转运患儿人院年龄中位数是0.46d,0.33d,5d;双程转运和求助医院单程转运的患儿胎龄、出生体质量小于家属单程转运,然而病情危重程度重于家属单程转运,并且住院花费高于家属单程转运,差异具有统计学意义(P〈0.05);除保暖措施,余急救措施各组差异均有统计学意义(X^2=96.855—103.863,P〈0.05);家属单程转运治愈好转出院百分率最高,各组转归情况差异具有统计学意义(Z=-1.987~-5.347,P〈0.05)。结论双程转运和求助医院单程转运新生儿的入院年龄小、出生体质量低、胎龄小、病情重,住院花费高且治愈好转出院百分率低。
Objective To explore the clinical characteristics and outcome of neonates transferred by different ways. Method A total of 1 027 neonates transferred to neonatal intensive care unit (NICU) of our hospital from July 2009 to July 2010 were analyzed prospectively. They were divided into three groups: twoway transport(TWT), hospital-aided one-way transport(HAT) and self-help one-way transport(SHT). The conditions at admission and discharge and pre-hospital care of the neonates were compared between the groups. The data were statistically analyzed with square tests, variance analysis and Mann Whitney U test. Results The median ages of TWT, HAT, and SHT groups at admission were 0.46 d, 0.33 d and 5 d respectively. The TWT and HAT neonates had smaller gestational age and birth weight than SHT ones, had more severe conditions and cost more, and the differences were significant ( P 〈 0.05 ). Significant differ- ences existed in all emergency treatment except in warming measures( X2 =96. 855 -103. 863, P 〈 0.05). The cure percentage at discharge was the highest in SHT group, and differences in treatment results of three groups were significant (Z = - 1. 987 to - 5. 347, P 〈 0.05 ). Conclusions The TWT and HAT neonates have smaller gestational age, ages at admission and birth weight than SHT ones, have more severe condi- tions, cost more and lower cure percentage at discharge than SHT ones.
出处
《中华急诊医学杂志》
CAS
CSCD
北大核心
2011年第5期477-480,共4页
Chinese Journal of Emergency Medicine
基金
青岛市公共领域科技支撑计划项目(09-1-1-16-nsh)
关键词
新生婴儿
转运网络
新生儿重症监护室
预后
Newborn infant
Transport network
Neonatal intensive care unit
Outcome