改良早期预警评分表应用于危重新生儿院内转运的效果探讨

The effect of modified Early Warning Score Table on the in-hospital transfer of critically ill newborns

目的:评价改良早期预警评分表在危重新生儿院内转运中的应用效果。方法:选取由产房和手术室转运至新生儿监护病房的120例危重新生儿为研究对象,2017年7-12月的60例新生儿纳入对照组,2018年1-6月的60例新生儿纳入实验组。对照组采用常规方法转运,实验组结合改良早期预警评分表制定转运分级标准和流程,分为Ⅰ、Ⅱ、Ⅲ级,分级配备转运人员和装备,加强转运人员的培训和演练,质量控制小组实施专门管理。结果:实验组转运时间少于对照组,转运不良事件和新生儿不良结局发生率低于对照组,差异均有统计学意义(P<0.05)。结论:运用改良早期预警评分表指导危重新生儿院内转运,可缩短转运时间,减少不良事件的发生,保证危重新生儿转运安全,改善新生儿结局。

Objective: To evaluate the effect of modified Early Warning Score Table on in-hospital transfer of critically ill newborns. Methods: Historically controlled study method was performed. Totally 60 newborns were included in the control group from July to December 2017, while 60 newborns were included in the test group from January to June 2018. The control group was transferred with existing methods, and the test group were transferred with new methods based on the results of the modified Early Warning Score Table. Results: The transit time of the experimental group was shorter than that of the control group. The incidence of adverse events and neonatal adverse outcomes were lower than that of the control group, and the differences were statistically significant respectively (P<0.05). Conclusion: The modified Early Warning Score Table is used to guide the in-hospital transfer of critically ill newborns, shortening the transit time, reducing the occurrence of adverse events, ensuring the safety of critically ill newborns and improving the outcome of neonates.