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目的 了解当前各级医院新生儿窒息复苏前准备状态。方法 对33家医院进行问卷式调查。结果①复苏器具:大数数具备电动吸引器、吸痰管、复苏囊、新生儿喉镜、气管插管、氧气,保暖设施;但有的器具准备不全;②复苏药品:均备有肾上腺素和碳酸氢钠,但94％同时又备有一些错误药品;③复苏方法:仅14家方法全对(42.4％),仍有采用旧法复苏;④紧急复苏步骤:能全部选用正确方法的不到一半(48.5％);⑤窒息判断标准:88％的医生能以Apgar评分作为判断标准;⑥培训情况:仅36.4％的医生参加过正规培训;⑦产儿科合作情况:36.4％的医院儿科医生不进产房,剖宫产时到场的就更少(18.8％)。结论 当前各级医院新生儿窒息复苏前准备状态不容乐观,需要进一步加强复苏器具和药品的正确准备,加强新法复苏培训,加强产科与儿科合作。
Objective To understand the current status of neonatal asphyxia recovery at all levels of hospital preparation. Methods 33 hospitals were surveyed. Results (1) Resuscitation equipment: The majority of patients had electric aspirator, suction tube, resuscitation capsule, neonatal laryngoscope, endotracheal intubation, oxygen and thermal insulation facilities; however, some instruments were inadequate; ② Resuscitation drugs: And sodium bicarbonate, but 94% at the same time with some wrong drugs; ③ recovery method: only 14 methods (42.4%), there is still recovery with the old method; ④ emergency recovery steps: can all choose the correct method Half (48.5%); ⑤ asphyxia criteria: 88% of the physicians can Apgar score as a criterion; ⑥ training: only 36.4% of doctors participated in formal training; ⑦ pediatrics cooperation: 36.4% of hospital pediatricians do not Into the delivery room, cesarean delivery less time (18.8%). Conclusions At present, the preparation status of neonatal asphyxia recovery at various levels in hospitals is not optimistic. It is necessary to further strengthen the correct preparation of resuscitative apparatus and medicines, strengthen the training of resuscitation of new laws and strengthen the cooperation between obstetrics and pediatrics.