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目的探讨新生儿窒息新法复苏技术推广模式和效果评价。方法我们先在四家协作医院推广新法复苏技术,培训采取邀请专家进行专题讲座、进行了现场操作示范,设置模拟操作现场、理论讲解、实践操作相结合等形式,培训课程以美国儿科学会(AAP)和美国心脏协会(ANA)的新生儿心肺复苏为依据,同时在培训前后采用问卷对医护人员进行新生儿窒息复苏知识和技能的调查,通过理论及操作考核及复苏技术大比武评价培训效果。结果通过培训,理论考试合格率从培训前的39.66%上升到100%,操作合格率从培训前的31.0%上升到100%,差异均有显著性意义(P<0.01)。培训后正确新生儿评估、正确正压人工通气、正确使用复苏药物均达到100%的掌握。协作医院设备药品配置完善。结论规范培训、科学的考核评价是新生儿窒息新法复苏技术推广工作的关键。
Objective To explore the technology popularization mode and effect evaluation of resuscitation of neonatal asphyxia new method. Methods We first promoted the recovery of new technology in four cooperative hospitals. The training invited experts to give lectures, carried out on-site operation demonstration, set up the simulation operation site, the theory explanation and the combination of practice operation and other forms. The training course was based on the American Academy of Pediatrics (AAP ) And American Heart Association (ANA) cardiopulmonary resuscitation. At the same time, questionnaires were used to investigate the knowledge and skills of neonatal asphyxia resuscitation before and after training, and the effect of training was evaluated through theoretical and operational assessment and resuscitation techniques. Results Through the training, the passing rate of theoretical examination rose from 39.66% before training to 100%, and the passing rate of operation increased from 31.0% before training to 100%, the difference was significant (P <0.01). The correct assessment of newborn after training, correct positive pressure artificial ventilation, the correct use of resuscitative drugs have reached 100% mastery. Collaborative hospital equipment, pharmaceuticals well-equipped. Conclusions Standardized training and scientific appraisal and evaluation are the key points to popularize the new method of resuscitation of neonatal asphyxia.