| Background: With the perinatal medicine constantly changing, and the continuous development of newborn branch, division of neonatal patients, the disease spectrum and treatment, all is in a constantly changing. All major branches of the newborn premature infants has also increased the incidence. Mortality and cause of death is constantly changing. Over the past decades,in particular in recent years our hospital neonatal branch has changed from the beginning 10 beds to the current 120 beds. The types of diseases, diagnosis, treatment, care and so on have tremendous changes. The changes of Disease spectrum on the doctor' s treatment and treatment of the concept put forward new demands. As resident doctors, we deeply feel these changes, but the disease spectrum, such as the incidence of premature infants, the use of CPAP, mechanical ventilation and intravenous nutrition, pulmonary surfactant is not clear. We need to sum up the research centre of clinical medicine resources, then obtain further guidance on clinical decision-making, clinical treatment, provide patients better medical services and treatment.Objective: Statistics our hospital neonatal branch over the past three years of hospitalization for newborns, the disease spectrum changes, the effect of treatment and prognosis, thus guide clinical decision-making, development of decision-making department, provide patients better medical services and treatment.Methods: 8, 878 cases of newborns discharged from the hospital from January 1, 2005 to December 31, 2007 in our hospital neonatal branch were collected. We summarize the data about general conditions treatment, discharge diagnosis, prognosis, nosocomial infection with retrospective analysis. Wereference "Utility Neonatology" as clinical diagnosis standards. Two physicians (one professor and one chief physician) make a diagnosis. Borrow case history from the library and fill out the data. with retrospective analysis using Excel2003 version with data entry and SPSS13. 0. Results: The majority of the 8, 878 patients were full-term newborn infants accounted for 68%. Most of the patients was male patients, accounted for 61. 6%, the proportion of the other provinces is higher than that of men in Shanghai. The average days of hospitalization was 13. 5 days (up to 600 days, the shortest two hours), the average hospitalization cost was RMB5745. 2 (maximum RMB161725. 8 yuan, RMB148.48 at least). 5,643 patients were from district hospitals, accounted for 63. 56%. NICU occupancy rate was 68. 19;the rate of using oxygen was 23%; frequency ventilation rate was7. 3%;CPAP rate was 8. 28%; there were 111 cases using Curosurf (1. 25%), 14 cases inhalated NO;phototherapy rate was 31. 16%;3. 59% cases transfused blood; 108 cases took exchange transfusion (1. 22%), intravenous nutrition utilization rate was 33.67%. The highest incidence of the disease was neonatal hyperbilirubinemia (1,800 cases, accounted for 20.27%), neonatal asphyxia (1, 593 cases, accounted for 17. 94%), neonatal pneumonia (1,314 cases, accounted for 14.80%), aspiration pneumonia (1,216 cases, accounted for 13.70%), wet lung (918 cases, accounted for 10.34%). Of8, 878 cases, 2, 431 cases cured, 4,382 cases turn to better, a total of 76. 45%, 152 people were dead (1. 71%), 1779 cases automatically discharged (19.96%). Nosocomial infection rate was 7.90 percent.Conclusions: The lower gestational age and the birth weight, the worse the prognosis. The death of premature infants is in the majority of all the infants. The majority of the patients were from district hospitals. Hospital between the different levels of suffocation recovery has not shown the level of difference. Mechanical ventilation, CPAP, curosurf rational use of the positive can improve the prognosis. |
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