Xu Xiao-Jing, Li Li-Na, Wu Wen-Yan
Department of Pediatrics, The First Hospital of Tsinghua University, Beijing, China.
J Int Med Res. 2019 Aug;47(8):3737-3744. doi: 10.1177/0300060519853948. Epub 2019 Jul 16.
This study aimed to investigate how to stabilize the condition of critically ill neonates within the neonatal transport network.
A total of 243 critically ill newborns in four hospitals involved in the transport network were enrolled. The newborns were divided into the research and control groups. In the research group, medical staff underwent theoretical training, and neonatal intensive care unit (NICU) professionals participated and provided on-site guidance on delivery of high-risk infants. Delivery of high-risk neonates in the control group was conventionally managed in local hospitals, and neonates were transferred after a phone call to the NICU.
Gestational age and body weight were lower, and dexamethasone use was higher in the research group than in the control group. The proportions of neonates who underwent mask pressure, endotracheal intubation, pulmonary surfactant application, and chest compressions were higher, and those with dyspnea and nervous system abnormalities were lower in the research group than in the control group. Blood gas and sugar levels were better in the research group than in the control group.
Strengthening professional training and participation of professional NICU staff in childbirth can improve the conditions of high-risk neonates and increase safety of their transportation.
本研究旨在探讨如何在新生儿转运网络中稳定危重新生儿的病情。
纳入参与转运网络的四家医院的243例危重新生儿。将新生儿分为研究组和对照组。研究组中，医护人员接受理论培训，新生儿重症监护病房（NICU）专业人员参与并对高危婴儿分娩提供现场指导。对照组高危新生儿在当地医院按常规管理，打电话给NICU后再转运新生儿。
研究组的胎龄和体重较低，地塞米松使用量高于对照组。研究组接受面罩加压、气管插管、应用肺表面活性物质和胸外按压的新生儿比例较高，呼吸困难和神经系统异常的比例低于对照组。研究组的血气和血糖水平优于对照组。
加强专业培训以及NICU专业人员参与分娩可改善高危新生儿的病情并提高其转运安全性。
