复苏技术降低我国新生儿窒息发生率和死亡率的Meta分析

Neonatal resuscitation technique to reduce neonatal asphyxia rate and mortality rate in China:a Meta-analysis

目的：评价新生儿复苏技术对我国新生儿窒息发生率和死亡率下降的效果。方法检索万方数据库、知网数据库资料，收集有关新生儿复苏项目现状与效果的相关文献，并根据纳入标准及排除标准筛选文献，采用非随机前后对照试验的二分类数据Meta分析法判断复苏实施效果。结果最终纳入文献3篇。 Meta分析结果显示，项目地区推广应用新生儿复苏技术促进了新生儿窒息发生率和死亡率的下降，新生儿窒息发生率降低46％，RR＝0．54，95％CI：0．33～0．91，P＝0．02；新生儿窒息死亡率降低45％，RR＝0．55，95％CI：0．35～0．86，P＝0．009。结论新生儿复苏技术有助于降低新生儿窒息发生率和死亡率，建议向农村、基层医院普及推广。

Objective To evaluate the effect of neonatal resuscitation technique on reducing the neonatal asphyxia rate and mortality in China.Methods Wanfang data and CNKI-CAJD were retrieved to collect the literatures of neonatal resuscitation, and they were screened according to inclusion criteria and exclusion criteria.Meta-analysis of two-category data of non-randomized control study was conducted to evaluate the effect of neonatal resuscitation technique.Results Finally three articles were recruited.Meta-analysis showed that neonatal resuscitation technique applied in program areas reduced the neonatal asphyxia rate and mortality.The neonatal asphyxia rate decreased by 46%（RR=0.54,95%CI：0.33-0.91,P=0.02）, and the mortality rate decreased by 45% （RR=0.55,95%CI：0.35-0.86, P=0.009） .Conclusion Neonatal resuscitation technique helps to reduce neonatal asphyxia rate and mortality, so it is suggested to be promoted in countryside and basic-level hospitals.