早产儿网络化管理的临床研究

目的:探讨早产儿网络化管理的临床效果。方法:对2004年1月～2007年1月经我院网络转运1057例早产儿的临床资料进行统计分析。结果:1057例早产儿网络转运途中无1例死亡,转运成功率100%;治愈873例(82.6%),好转146例(13.8%),死亡15例(1.4%),自动出院12例(1.1%),转科治疗11例(1.0%);发生脑瘫8例,脑瘫发生率0.78%;1057例早产儿以窒息、吸入性肺炎、肺透明膜病、缺血缺氧性脑病(HIE)与颅内出血等疾病居多,共占81.6%(862/1057)。结论:通过早产儿院前急救→转运→救治→早期干预→康复的网络化管理,对降低早产儿病死率与改善早产儿的远期预后起到积极作用,同时也提高了网络转运基层医院的围产医疗保健水平。

Clinical study of network management system of premature infant

Objective:To explore the clinical efficacy of network management system of premature infants.Methods:The clinical data of 1 057 premature infants transported by network management system from 2004 to 2007 were analyzed.Results:No death cases occurred during the transportation of 1 057 premature infants,the success rate was 100%;873 cases(82.6%)were cured and 146 cases(13.8%)were improved,15 cases(1.4%)died and 12(1.1%)gave up any further treatment,11 cases(1.0%)were transferred to other departments;8 cases suffered from cerebral palsy,the incidence of cerebral palsy was 0.78%;The common diseases of 1 057 premature infants were asphyxia,aspiration pneumonia,hyaline membrane disease,hypoxia-ischemic encephalopathy and intracranial hemorrhage,the rate of these diseases was 81.6%(862/1 057).Conclusion:Network management system has positive effect on reducing the mortality rate and improving the long-term prognosis of premature infants.At the same time,the skills of medical care giver deeling with premature infants have been improved.