极低出生体重儿的产房管理质量改进

Quality improvement of delivery room management for very low birth weight infants

新生儿出生时产房发生的事件影响其近期及远期的结局,尤其是对于极低出生体重儿.对极低出生体重儿进行产房管理质量改进,通过产前、产时及产后的各种措施,包括脐带延迟结扎、温度控制、进行产房持续气道正压呼吸(continuous positive airway pressure,CPAP)及用低浓度氧开始复苏等干预手段,可以降低极低出生体重儿病死率,提高其生存质量.该文就目前国内外产房质量改进进展作一综述,总结具体措施,以便于更好地降低极低出生体重儿的住院时间及改善远期预后.

Events in the delivery room significantly impact the outcomes of newborns,especially for the very low birth weight infants. Quality improvement of delivery room management for very low birth weight in-fants will reduce the very low birth weight infants′mortality and improve their quality of life. The prenatal ,in-trapartum and postnatal interventions include delayed umbilical cord clamping,thermoregulation,starting resusci-tation with CPAP from the first breath and with low concentration oxygen. In this article,we reviewed researches about the improvements of delivery room management,and summed up the specific measures to reduce the very low birth weight infants′median durations of hospitalization and improve their long-term outcomes.