摘要
目的探讨新生儿疾病筛查管理中存在的常见问题及相应的对策。方法选取2015年1月-12月新生儿遗传代谢性疾病筛查的临床资料,对其进行回顾性分析。结果本院筛查的新生儿遗传代谢性疾病主要有促甲状腺激素(TSH)、苯丙氨酸(phe)、6-磷酸葡萄糖脱氢酶(G6PD)、17-羟孕酮(17-OHP)相关疾病4种,4个季度的可疑阳性应召患者数分别为30例、135例、158例、116例,实召患者数分别为28例、135例、150例、113例,未召回复查患者数分别为2例、0例、8例、3例。存在的问题主要有健康教育的宣传力度不够、筛查网络不健全、血涂片质量较差、技术培训少、服务质量差等。结论医院新生儿疾病筛查管理中依然存在很多问题,必须加强人员的业务培训、加强健康教育,规范工作程序,争取各级卫生行政部门的重视,从而提高新生儿疾病筛查的质量,促进新生儿疾病筛查工作的开展。
Objective To discuss the common problems and countermeasures in the management of neonatal disease screening. Methods The clinical data of neonatal metabolic disease screening in hospital between January 2015 and December 2015 were selected and analyzed retrospectively.Results TSH,Phe,G6PD and 17-OHP related diseases were four of major hereditary metabolic disease in neonatal metabolic screening. The number of participants with suspicious positive response was 30 cases in the first quarter,135 cases in the second quarter,158 cases in the third quarter and 116 cases in the fourth quarter. The actual number of recalled patients was 28 cases,135 cases,150 cases,113 cases,respectively. The number of those failed to recall for reexamination was 2 cases,0 case,8 cases,3 cases. The main problems were as follows,insufficient of propaganda of health education,imperfect screening network,poor quality of blood film,inadequate training of technology,poor quality of service. Conclusion A lot of problems still exist in the management of neonatal screening. It is required to strengthen staff training and health education,regulate the work procedures for health administrative departments at all levels of attention,so as to improve the quality of newborn screening.
出处
《中西医结合护理（中英文）》
2017年第6期41-43,共3页
Journal of Clinical Nursing in Practice
关键词
新生儿
遗传代谢性疾病
疾病筛查
对策
医院管理
neonatal screening
hereditary metabolic disease
disease screening
countermeasures
hospital management
