Deorari A K, Paul V K, Singh M, Vidyasagar D
Division of Neonatology, Department of Pediatrics, WHO Collaborating Centre for Training & Research in Newborn Care, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Ann Trop Paediatr. 2001 Mar;21(1):29-33.
The impact of a neonatal resuscitation programme (NRP) on the incidence, management and outcome of birth asphyxia was evaluated in 14 teaching hospitals in India. Two faculty members from each institution attended a neonatal resuscitation certification course and afterwards trained staff in their respective hospitals. Each institution provided 3 months pre-intervention and 12 months post-intervention data. Introduction of the NRP significantly increased awareness and documentation of birth asphyxia, as judged by an increased incidence of asphyxia based on apnoea or gasping at 1 and 5 minutes (p < 0.001 and < 0.01, respectively). A significant shift towards more rational resuscitation practices was indicated by a decline in the use of chest compression and medication (p < 0.001 for each), and an increase in the use of bag and mask ventilation (p < 0.001). Although overall neonatal mortality did not decrease, asphyxia-related deaths declined significantly (p < 0.01).
在印度的14家教学医院评估了新生儿复苏计划（NRP）对出生窒息的发生率、处理及结局的影响。每家机构的两名教员参加了新生儿复苏认证课程，之后在各自医院培训工作人员。每家机构提供了干预前3个月和干预后12个月的数据。根据出生后1分钟和5分钟时呼吸暂停或喘息导致的窒息发生率增加判断，NRP的引入显著提高了对出生窒息的认知和记录（分别为p<0.001和<0.01）。胸外按压和药物使用的减少（每项p<0.001）以及气囊面罩通气使用的增加（p<0.001）表明复苏操作明显转向更合理。尽管新生儿总体死亡率没有下降，但与窒息相关的死亡显著下降（p<0.01）。
