北京市医疗机构危重新生儿救治能力现况调查

Cross-sectional survey on treatment ability of critically ill neonates in medical institutions in Beijing

目的:分析北京市医疗机构危重新生儿救治能力现状,为新生儿救治转诊网络的建设提供理论依据。方法:采用调查表形式对2012年北京市108所医疗机构新生儿救治情况进行调查,并对调查情况进行分析。结果:108所医院新生儿病床总数为1 175张,2012年共收治新生儿37 509名,其中早产儿9 198名。70所(64.81%)医疗机构实际救治新生儿数不能满足其自身救治需求。医疗机构中,24所(22.22%)医疗机构设有新生儿重症监护病房(NICU),24所(22.22%)医疗机构配备转运暖箱,12所(11.11%)医疗机构配备新生儿转运车,12所(11.11%)医疗机构配备专用的转运呼吸机。结论:北京市危重新生儿救治和转运需求较高,但NICU、新生儿病床和转运设备等明显不足,急需加强新生儿救治转诊网络建设。

Objective： To analyze the current situation of treatment ability of critically ill neonates in medical institutions in Beijing,provide a theoretical basis for establishment of neonatal treatment and transport network. Methods： Neonatal treatment situations in108 medical institutions in Beijing were surveyed by a questionnaire and the results were analyzed. Results： The total number of neonatal beds in 108 hospitals was 1 175. A total of 37 509 neonates were treated in 2012,9 198 of them were preterm infants. Compared with hospital treatment load,70 medical institutions（ 64. 81%） could not meet the actual needs. Among 108 hospitals,24（ 22. 22%） of them had neonatal intensive care unit（ NICU）,24（ 22. 22%） of them had transport incubators,12（ 11. 11%） of them had neonatal transport vehicles,12（ 11. 11%） of them had breathing machines for neonatal transport. Conclusion： The requirements of treatment and transport of critically ill neonates in Beijing are high,but NICU,neonatal beds and transport equipments are insufficient significantly,establishment of neonatal treatment and transport network needs to be strengthened.