益阳市医疗机构新生儿复苏工作现状调查

Investigation on the current situation of neonatal resuscitation in Yiyang medical institutions

目的对益阳市医疗机构新生儿复苏工作现状进行调查,了解新生儿复苏工作情况.方法于2021年4月-2022年7月给所有助产机构发放调查问卷,共计35家,复苏操作考核机构为三级医院的有16家.对比三级医院与二级医院复苏设备、师资数量、操作考核评分、T组合复苏器的配备、脐静脉管的配备情况.结果三级医院与二级医院县级师资数量对比,差异具有统计学意义(P<0.05);市级师资、省级师资对比,差异无统计学意义(P>0.05).二级医院自动充气式复苏囊、喉镜配备率均为100.00%,带气囊气管导管配备率为0.00%,胎粪吸引管配备率为89.47%,脉氧仪配备率为73.68%,脐静脉管配备率为21.05%,T组合复苏器的配备率为10.53%;三级医院胎粪吸引管配备率为100.00%,带气囊气管导管配备率为0.00%,自动充气式复苏囊、喉镜配备率均为100.00%,脉氧仪配备率为87.50%,脐静脉管配备率为25.00%,T组合复苏器配备率为18.75%,二级医院和三级医院胎粪吸引管、脉氧仪的配备率对比,差异具有统计学意义(P<0.05);其余设备的配备率对比,差异不具有统计学意义(P>0.05).二级医院和三级医院操作考核评分对比,差异具有统计学意义(P<0.05).结论新生儿复苏培训项目的实施能够有效促进医疗机构新生儿复苏设备的配备,提高相关医务人员的复苏技术水平;为了更好地推动新生儿复苏工作的开展,还需要配备工作中缺少的设备,适当增加考核次数.

Objective To investigate the current situation of neonatal resuscitation in Yiyang medical institutions and understand the situation of neonatal resuscitation.Methods From April 2021 to July 2022,a total of 35 midwifery institutions were sent questionnaires,and 16 medical institutions were assessed for resuscitation operation.The resuscitation equipment,the number of teachers,the operation assessment score,the equipment of T combination resuscitation device,and the equipment of umbilical vein catheterization were compared between tertiary and secondary hospitals.Resul ts Compared with the number of teachers at the county level,the difference was statistically significant(P<0.05).There is no significant difference between the municipal teachers and the provincial teachers(P>0.05).The equipped rates of self-inflating resuscitation bag and laryngoscope in second-class hospitals are 100.00%,tracheal tube with air bag is 0.00%,meconium aspiration tube is 89.47%,pulse oximeter is 73.68%,umbilical vein tube is 21.06%,and T-combined resuscitator is 10.53%.The allocation rate of meconium aspiration tube,tracheal tube with air bag,laryngoscope,pulse oxygen meter,umbilical vein tube and T-combined resuscitator in tertiary hospitals is 100%,0.00%,100.00%,73.68%,25.00%and 18.75%respectively.The allocation rates of meconium aspiration tube and pulse oxygen meter in secondary hospitals and tertiary hospitals are compared.Compared with other equipments,the difference is not statistically significant(P>0.05).There was a significant difference in the operation assessment scores between the second-class hospital and the third-class hospital(P<0.05).Conclusions The implementation of neonatal asphyxia resuscitation training program can effectively promote the installation of neonatal asphyxia resuscitation equipment in medical institutions and improve the level of resuscitation technology of relevant medical staff.In order to better promote the development of neonatal resuscitation work,it is also necessary to equip the lack of equipment in the work and increase the numher of assessment appropriately.