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2004 - 2021年中国通过三阶段新生儿复苏培训计划降低新生儿死亡率

Reducing Neonatal Mortality with a Three-Stage Neonatal Resuscitation Training Programme - China, 2004-2021.

作者信息

Wang Chenran, Yue Qing, Xu Tao

机构信息

National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Beijing, China.

出版信息

China CDC Wkly. 2022 Sep 9;4(36):807-810. doi: 10.46234/ccdcw2022.168.

DOI:10.46234/ccdcw2022.168
PMID:36285280
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9547731/
Abstract

Neonatal asphyxia is a leading cause of neonatal death that is largely preventable with neonatal resuscitation techniques. In July 2004, China launched a 15-year, three-stage Neonatal Resuscitation Programme (NRP) with stages in 2004-2009, 2011-2016, and 2017-2021 ( 1). The objective of China's NRP was to ensure the presence of at least one trained attendant proficient in neonatal resuscitation at every delivery. With consistent effort, both incidence and mortality from neonatal asphyxia decreased remarkably during 2003-2020: incidence decreased from 6.32% to 1.42% and mortality decreased from 0.76‰ to 0.19‰ ( 1- 2). China's empirical experience shows that widespread promotion of high-quality neonatal resuscitation techniques can reduce preventable neonatal deaths and provide important insight into "ending preventable deaths in newborns by 2030," as proposed in the United Nations Sustainable Development Goal's third target ( 3).

摘要

新生儿窒息是新生儿死亡的主要原因,而新生儿复苏技术在很大程度上可预防这种情况。2004年7月,中国启动了一项为期15年、分三个阶段的新生儿复苏项目(NRP),三个阶段分别为2004 - 2009年、2011 - 2016年和2017 - 2021年(1)。中国新生儿复苏项目的目标是确保每次分娩时至少有一名熟练掌握新生儿复苏技术的医护人员在场。经过持续努力,2003 - 2020年期间,新生儿窒息的发病率和死亡率均显著下降:发病率从6.32%降至1.42%,死亡率从0.76‰降至0.19‰(1 - 2)。中国的经验表明,广泛推广高质量的新生儿复苏技术可以减少可预防的新生儿死亡,并为联合国可持续发展目标第三个具体目标中提出的“到2030年消除可预防的新生儿死亡”提供重要见解(3)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c83/9547731/89beab288acd/ccdcw-4-36-807-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c83/9547731/89beab288acd/ccdcw-4-36-807-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c83/9547731/89beab288acd/ccdcw-4-36-807-1.jpg

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The impact of educational interventions on the competence of nurses and midwives in neonatal resuscitation in sub-Saharan Africa: A systematic review.教育干预对撒哈拉以南非洲地区护士和助产士新生儿复苏能力的影响:一项系统综述。
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本文引用的文献

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Healthy China 2030, a breakthrough for improving health.健康中国 2030,提升健康水平的突破。
Glob Health Promot. 2019 Dec;26(4):96-99. doi: 10.1177/1757975917743533. Epub 2018 Jan 3.
2
Newborn Resuscitation Training Programmes Reduce Early Neonatal Mortality.新生儿复苏培训计划可降低早期新生儿死亡率。
Neonatology. 2016;110(3):210-24. doi: 10.1159/000443875. Epub 2016 May 25.
3
The impact of an intervention package promoting effective neonatal resuscitation training in rural China.干预套餐对促进中国农村地区有效新生儿复苏培训的影响。
Development of capability lists for neonatal critical care at three levels in China: a modified Delphi study.
中国三级新生儿重症监护能力清单的制定:一项改良德尔菲研究。
BMJ Paediatr Open. 2024 Mar 27;8(1):e002441. doi: 10.1136/bmjpo-2023-002441.
Resuscitation. 2014 Feb;85(2):253-9. doi: 10.1016/j.resuscitation.2013.10.020. Epub 2013 Oct 29.
4
Impact of a nationwide training program for neonatal resuscitation in China.中国新生儿复苏培训计划的影响。
Chin Med J (Engl). 2012 Apr;125(8):1448-56.