新生儿早期基础保健项目实施对正常分娩足月儿患病的影响

目的 探讨新生儿早期基础保健(EENC)项目实施对渭南市妇幼保健院正常分娩足月儿72小时内入院率、新生儿24小时内肺炎(吸入性肺炎)发生率、7天内高胆红素血症住院率、皮肤黏膜感染发生率的影响.方法 选取EENC项目实施5个月以来即2016年10月1日至2017年3月1日的1316例正常分娩足月儿作为观察组,选取实施开展EENC项目前一年同时间段即2015年10月1日至2016年3月1日正常分娩足月儿1520例作为对照组,分别对两组72小时内的入院率、24小时内肺炎发生率、72小时内皮肤黏膜感染发生率、7天内高胆红素血症发生率进行统计对比.结果 EENC项目实施后,观察组的24小时内肺炎(吸入性肺炎)发生率、72小时内皮肤黏膜感染发生率、72小时内入院率均低于对照组,差异均有统计学意义(χ2值分别为5.030、4.030、8.890,均P<0.05);7天内高胆红素血症的诊断率两组比较无统计学差异(P>0.05).结论 EENC项目实施后渭南市妇幼保健院正常分娩足月儿的72小时内入院率、24小时内肺炎发生率、72小时内皮肤黏膜感染发生率均有明显降低,且7天内高胆红素血症的住院率增加不显著,此项目在该院适用性良好.

Influence of early essential newborn care on disease of full-term newborns delivered in hospital

Objective To explore the influence of early essential newborn care(EENC)on admission rate within 72 hours,incidence of neonatal pneumonia within 72 hours(aspiration pneumonia),admission rate of hyperbilirubinemia within 7 days,and morbidity of skin mucous membrane infection of normal full-term neonates delivered in Weinan Maternal and Child Health Hospital.Methods There were 1 316 cases(observation group)selected during October 1,2016 to March 1,2017 when EENC was implemented for 5 months.From October 1,2015 to March 1,2016 before the implementation of EENC 1 520 cases were selected as control group. Two groups were compared in terms of the admission rate within 72 hours,incidence of neonatal pneumonia within 24 hours, morbidity of skin mucous membrane infection and hyperbilirubinemia within 7 days.Results After the implementation of EENC project,the incidence of pneumonia(aspiratory pneumonia)within 24 hours,morbidity of skin mucous membrane infection within 72 hours and admission rate with in 72 hours were lower in the observation group than in the control group with statistical differences(χ2value was 5.030,4.030 and 8.890,respectively,all P<0.05).There was no statistical difference in the diagnosis rate of hyperbilirubinemia within 7 days(P>0.05).Conclusion There is significant decrease in admission rate of normal full-term newborns within 72 hours,incidence of neonatal pneumonia within 24 hours,and morbidity of skin mucous membrane infection within 72 hours,and no increase of the hospitalization rate of hyperbilirubinemia is found.Therefore,the project is in good applicability in the hospital.