上海市推广新生儿窒息复苏技术对降低围产儿死亡率的效果

Effect of popularizing neonatal asphyxia recovery technique on reducing perinatal mortality in Shanghai city

目的:分析上海市推广新生儿窒息复苏技术的效果,为进一步降低围产儿死亡率、改善新生儿的生存结局提供依据。方法:回顾性分析2005～2010年在上海市接产医院出生的新生儿窒息、死亡的情况。结果:①2005～2010年围产儿死亡率为5.04‰,新生儿死亡率为1.60‰;新生儿窒息发生率为1.56%,新生儿窒息死亡率为9.32‰。②后三年(2008～2010年)与前三年(2005～2007年)相比较,围产儿死亡率显著低于前三年,新生儿窒息发生率显著下降(P<0.01);非本市户籍者的新生儿死亡率及窒息死亡率均较前三年显著下降(P<0.05)。③产科医生、助产士的培训覆盖率和在实际参与窒息复苏抢救的应用中均高于新生儿科和儿科医生。结论:通过全覆盖规范培训所有与分娩相关的医务人员,可显著降低围产儿死亡率、新生儿死亡率及因新生儿窒息所导致的死亡。

Objective： To analyze the effect of popularizing neonatal asphyxia recovery technique in Shanghai city, provide a reference for further reducing perinatal mortality and improving the survival outcome of neonates. Methods： The data of neonatal asphyxia and death in Shanghai city from 2005 to 2010 were analyzed retrospectively. Results：①From 2005 to 2010, the perinatal mortality, neonatal mortality, the incidence of neonatal asphyxia, and mortality of neonatal asphyxia were 5.04‰, 1.60‰, 1.56%, and 9. 32‰, respectively. ②The perinatal mortality and the incidence of neonatal asphyxia from 2008 to 2010 were significantly lower than those from 2005 to 2007 （ P 〈 0. 01 ） . Among the neonates without local household registration, the neonatal mortality and the mortality of neonatal asphyxia from 2008 to 2010 were significantly lower than those from 2005 to 2007 （ P 〈 O. 05 ） . ③The coverage rate of training among obstetricians and midwives and the number of obstetricians and midwives participating in rescue of asphyxia recovery were significantly higher than those of neonatal physicians and pediatricians. Conclusion： Training all the medical workers related to delivery can reduce perinatal mortality, neonatal mortality and neonatal mortality induced by asphyxia.