Chance G W, Matthew J D, Gash J, Williams G, Cunningham K
J Pediatr. 1978 Oct;93(4):662-6. doi: 10.1016/s0022-3476(78)80913-5.
To attempt to demonstrate the need for skilled care of sick neonates in transport, a modified randomized controlled study of infants being transported to this institution was carried out. Although special equipment was used, ambulances were not modified. Results of the first phase reported here show that infants weighing less than 1.5 kg at birth, transported by a trained physician and nurse, were significantly warmer, less hypotensive, and less acidotic on admission to the NICU. Mortality was significantly reduced, first week morbidity somewhat lessened, and duration of stay in hospital reduced by more than one third (P less than 0.01).
为了试图证明新生儿在转运过程中需要专业护理，我们对转送至本机构的婴儿进行了一项改良的随机对照研究。尽管使用了特殊设备，但救护车并未改装。此处报告的第一阶段结果显示，由经过培训的医生和护士转运的出生体重低于1.5千克的婴儿，在进入新生儿重症监护病房（NICU）时体温明显更高，低血压情况更少，酸中毒程度更低。死亡率显著降低，第一周发病率有所减轻，住院时间缩短了三分之一以上（P<0.01）。
