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【目的】探讨与特区基层妇幼保健网的合作,优化区域性新生儿转运网络(neonatal transport network,NTN)和转运手段的可行性。【方法】通过与特区区级妇幼保健网络协作,拓展基层区域性转运系统(newborn emer-gency transport service,NETS)综合服务内涵。【结果】两个模式阶段中,全区活产婴儿数年均增加35.9%,新生儿窒息及主要并发症缺氧缺血性脑病、NTN转运病死率、新生儿病死率、新生儿死亡率、NTN年均转运新生儿数、NTN量占本院NICU量之比及其与同期全区活产婴儿数之比分别为18.8%、5.08%、1.6%、5.6%、5.13‰、532、42.3%、0.71%,13.62%、2.82%、0.9%、2.3%、3.58‰、213、28.9%、0.28%。【结论】加强与妇幼保健网络协作,拓展NETS服务内涵,提升了NTN质量,降低了新生儿病死率和死亡率。
【Objective】 To explore the feasibility of optimizing the cooperation of neonatal transport network (NTN) and transshipment with grass-roots MCH in the SAR. 【Method】 By means of collaborating with the district-level MCH network, the intension of comprehensive service of the newborn emer-gency transport service (NETS) was expanded. 【Results】 In the two model stages, the number of live-born infants in the whole area increased by 35.9% for several years. Neonatal asphyxia and major complications of hypoxic-ischemic encephalopathy, NTN transport mortality, neonatal mortality, neonatal mortality, NTN annual average number of newborns, the ratio of NTN quantity to the NICU quantity in our hospital and its ratio to the number of live births in the same period were 18.8%, 5.08%, 1.6%, 5.6%, 5.13%, 532,42.3% , 0.71%, 13.62%, 2.82%, 0.9%, 2.3%, 3.58%, 213.28.9%, 0.28% respectively. 【Conclusion】 Intensifying cooperation with MCH network to expand the content of NETS service, improve the quality of NTN and reduce neonatal mortality and mortality.