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目的:分析上海市推广新生儿窒息复苏技术的效果,为进一步降低围产儿死亡率、改善新生儿的生存结局提供依据。方法:回顾性分析2005～2010年在上海市接产医院出生的新生儿窒息、死亡的情况。结果:①2005～2010年围产儿死亡率为5.04‰,新生儿死亡率为1.60‰;新生儿窒息发生率为1.56%,新生儿窒息死亡率为9.32‰。②后三年(2008～2010年)与前三年(2005～2007年)相比较,围产儿死亡率显著低于前三年,新生儿窒息发生率显著下降(P<0.01);非本市户籍者的新生儿死亡率及窒息死亡率均较前三年显著下降(P<0.05)。③产科医生、助产士的培训覆盖率和在实际参与窒息复苏抢救的应用中均高于新生儿科和儿科医生。结论:通过全覆盖规范培训所有与分娩相关的医务人员,可显著降低围产儿死亡率、新生儿死亡率及因新生儿窒息所导致的死亡。
Objective: To analyze the effect of promoting neonatal asphyxia recovery technology in Shanghai and provide evidence for further reducing perinatal mortality and improving the survival outcome of neonates. Methods: A retrospective analysis of neonatal asphyxia and death in Shanghai Migrants Hospital from 2005 to 2010 was conducted. Results: ① From 2005 to 2010, the perinatal mortality rate was 5.04 ‰ and the neonatal mortality rate was 1.60 ‰. The neonatal asphyxia rate was 1.56% and neonatal asphyxia mortality rate was 9.32 ‰. ② After the third year (2008-2010) Compared with the first three years (2005-2007), the perinatal mortality rate was significantly lower than the first three years, the incidence of neonatal asphyxia was significantly decreased (P <0.01); non-city Households neonatal mortality and asphyxia mortality were significantly decreased compared with the previous three years (P <0.05). ③ Obstetricians, midwifery training coverage and practical participation in resuscitation and rescue applications are higher than neonatology and pediatricians. CONCLUSIONS: Training all childbirth-related health workers through full coverage norms can significantly reduce perinatal mortality, neonatal mortality and death from neonatal asphyxia.