实施新生儿复苏项目减少中国新生儿出生窒息死亡
Reducing birth asphyxia in China by implementing the neonatal resuscitation program
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摘要: 中国作为增速领先的世界经济力量不断向前发展,妇幼健康状况取得了显著的成效。5岁以下儿童死亡率的降低提前实现了千年发展目标,但是新生儿死亡所占比例仍较高。在相对较高的新生儿死亡率背后,存在农村地区的地理环境不利于提供医疗服务、医疗机构的医疗条件存在差异、基层医务人员技术能力较低等因素。为了解决新生儿死亡问题,尤其是减少新生儿出生窒息的发生率和死亡率,在过去十年间,主要的相关各方已经着手在中国实施新生儿复苏项目。这些努力在临床保健方面已经显现成效,而且在未来会进一步发挥作用,从而改善儿童的长期健康结局。Abstract: China has advanced as a leading economic world power,its maternal and child health outcomes has achieved significant improvement.Although the under 5 mortality rate has achieved the MGDs goal,but the proportion of newborn death is high.Some factors behind the relatively high neonatal mortality rate include geographic challenges to providing health care in rural regions and disparities in care across different levels of hospitals.To tackle the problem of neonatal mortality,specifically to reduce birth asphyxia,key stakeholders have worked to implement the Neonatal Resuscitation Program across China in the past decade.These efforts have already borne fruit in improving clinical care and are likely to provide further benefit in improving long-term health outcomes of children.