Bossi E, Zoppi M
Schweiz Med Wochenschr. 1980 Jul 19;110(29):1111-4.
To test the efficacy of a specialized transport service for sick newborns, changs in pH, Dextrostix values, and rectal temperature during transportation are compared in newborns transported by a specialized team and newborns referred by personnel of obstetric clinics to a neonatal intensive care unit. From January 1, 1974 to December 31, 1977 487 newborns below the age of 48 hours were transported by a specialized team and 336 were referred. The percentage of acidotic and hypothermic infants decreased significantly during transport by a specialized team, and there was a slight decrease in the percentage of hypoglycemic infants. In contrast, the percentage of referred newborns with acidosis and hypoglycemia increased and there was no decrease in the percentage of hypothermic newborns in this group. The advantage of specialized transportation is further underlined by the fact that these newborns were more severely ill than those brought by personnel of the referring clinics. The financial and administrative efforts involved in running a specialized transport system for newborns are justified.
为测试针对患病新生儿的专业转运服务的效果,对由专业团队转运的新生儿以及产科诊所人员转诊至新生儿重症监护病房的新生儿在转运过程中的pH值、血糖值和直肠温度变化进行了比较。1974年1月1日至1977年12月31日,487名48小时以下的新生儿由专业团队转运,336名新生儿由转诊而来。在专业团队转运过程中,酸中毒和体温过低婴儿的比例显著下降,低血糖婴儿的比例略有下降。相比之下,转诊新生儿中酸中毒和低血糖的比例增加,该组体温过低新生儿的比例没有下降。这些新生儿比转诊诊所人员送来的新生儿病情更严重,这一事实进一步凸显了专业转运的优势。开展新生儿专业转运系统所涉及的财务和行政工作是合理的。