查詢結果分析
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頁籤選單縮合
題名 | Neonatal Mortality and Morbidity in a Neonatal Unit: Impact of Improved Perinatal Care in Recent 10 Years=新生兒死亡原因: 相隔十年之統計比較研究 |
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作者 | 曹龍彥; 陳曉能; 張寶倫; 趙文崇; |
期刊 | 中華民國小兒科醫學會雜誌 |
出版日期 | 19951100、19951200 |
卷期 | 36:6 民84.11-12 |
頁次 | 頁405-410+463 |
分類號 | 417.517 |
語文 | eng |
關鍵詞 | 新生兒死亡; 呼吸窘迫症; 敗血症; 新生兒窒息; 先天性畸形; Neonatal death; RDS; Sepsis; Asphyxia; Congenital malformation; |
中文摘要 | 本研究乃提供民國七十年至八十二年(時期2)在彰化基督都醫院新生兒加護病房之新生兒死亡原因之分析,並與民國六十年至八十二年(時期1)之新生兒死亡率及原因相比較,以瞭解在彰化地區是否因周產期醫療環境之改變而不同。本研究顯示於時期2,所有住院之新生兒死亡率有大幅的下降(18%對12.35%,P<0.01)。在本院出生之新生兒死亡率也大幅下降(35.74%對11.61%.P<0.001),但院外轉來的新生兒死亡率並無明顯差異(12.30%對12.72%,P>0.05)。其原因可能是在時期2,對產婦及生產照顧水準之改善,及病嬰加護水準之提高,而且在民國七十六年建立了轉送系統。於時期2,呼吸窘迫症、早產兒、敗血病、窒息(特別是胎便吸入症,併發持續性高肺動脈壓症)和先天性畸形等,仍然是主要死亡原因。為了進一步降低新生兒死亡率,吾人建議需加強預防,早期診斷及治療前述病症。並在彰化地區建立有更完善轉送系統之周產期醫療網。 |
英文摘要 | Analysis of the neonatal mortality record at the neonatal unit of Changhua Christian Hospital for the five-year period from 1989 to 1993 (period 2) is presented and compared with that of the period 1979- 1983 (period 1). This retrospective study is to evaluate whether the mortality rate and causes of neonatal death are affected by the changing perinatal care environment in Changhua area. This study shows that the mortality rate of the all admitted babies was dramatically decreased in period 2 (18% vs 12.35%, P<0.01) and the mortality rate of delivered babies in our hospital was significantly decreased in period 2, too. (32.74% vs 11.61%, P<0.001). However, the mortality rate of the babies referred from other hospitals was not different between the two periods (12.30% vs 12.72%, P>0.05). These results can be explained by the higher quality of prenatal and delivery care, higher standard of neonatal intensive care for the sick neonates in period 2 and a comprehensive transport system which was established in 1987. RDS, prematurity, sepsis, asphyxia (particularly MAS with PPHN) and congenital malformations were still the main causes of neonatal death in period 2. We suggested that prevention, early diagnosis and intervention of these disorders and regionalization of perinatal care with a more comprehensive transport system are mandatory in Changhua area. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。