日本新生児成育医学会雑誌　第32巻　第1号　86 ～ 90頁（2020年）

日本新生児成育医学会雑誌　32(1)：86-90；2020　

受付日：2018．12．10

受理日：2019．05．13

NICU の災害対策などに関するアンケート結果

Results of Questionnaire on Anti-Disaster Measures of the NICU

1 日本新生児成育医学会災害対策委員会，＊2 熊本市民病院　新生児内科，＊3 長崎みなとメディカルセンター　新生児内科，＊4 聖隷浜松病院　新生児科，＊5 いわき市立総合磐城共立病院　未熟児・新生児科，＊6 兵庫県立こども病院　新生児内科，＊7 大阪母子医療センター　新生児科，＊8 鹿児島市立病院　新生児内科

＊1 Disaster Countermeasure Committee of Japan Society for Neonatal Health and Development，＊2 Department of Neonatology, Kumamoto City Hospital，＊3 Department of Neonatology, Nagasaki Harbor Medical Center，＊4 Department of Neonatology, Seirei Hamamatsu General Hospital，＊5 Department of Neonatology, Iwaki Kyoritsu Hospital，＊6 Department of Neonatology, Hyogo Prefectural Kobe Children’s Hospital，＊7 Department of Neonatology, Osaka Women’s and Children’s Hospital，＊8 Department of Neonatology, Kagoshima City Hospital

川瀬昭彦＊1＊2・平川英司＊1＊3・大木　茂＊1＊4・本田義信＊1＊5・芳本誠司＊1＊6・和田和子＊1＊7・茨　聡＊1＊8

Akihiko KAWASE＊1＊2，Eiji HIRAKAWA＊1＊3，Shigeru OHKI＊1＊4，Yoshinobu HONDA＊1＊5， Seiji YOSHIMOTO＊1＊6，Kazuko WADA＊1＊7，Satoshi IBARA＊1＊8

Key Words：disaster control，NICU，DMAT，triage

2016 年4 月に発生した熊本地震においては，総合周産期母子医療センターである熊本市民病院のNICU において，入院患者全員の避難を余儀なくされた。この経験をふまえ，日本新生児成育医学会災害対策委員会では，NICU の災害対策などに関するアンケート調査を行った。施設避難のハイリスク施設の過半数で避難取り決めがない，約2/3 の施設で自院のDMAT との合同訓練経験がない，また，過半数の施設では避難トリアージを行っていない，等の結果が得られた。災害時広域搬送対応については，総合周産期母子医療センターにおいても過半数の施設で人員および機材が十分ではないという回答であった。ヘリ搬送については，経験施設が28％，そのうち年間5 回以下の施設が94％であり，新生児ヘリ搬送に習熟していない可能性が示唆された。今後も大規模災害はいつどこに発災するかは不明であり，さらなる災害対策の充実が必要であると思われる。

In the Kumamoto earthquake of April, 2016, all the inpatients in the NICU of Kumamoto City Hospital, which is a general perinatal medical center, were forced to refuge. Based on this experience, the Disaster Countermeasure Committee of Japan Society for Neonatal Health and Development performed a questionnaire survey on anti-disaster measures of the NICU. Responses were received from 221 facilities. The following results were obtained：in the majority of high-risk areas of the refuge facilities, there is no refuge agreement；in approximately two-thirds of the facilities, there is no experience of joint-training between the hospital and DMAT；in the majority of facilities, refugee triage is not performed. As for the communications involving the wide-area conveyance at the time of the disaster, in the general perinatal medical center, the staff and equipment replied that in the majority of facilities these were insufficient. As for the copter conveyance, 28% of facilities have carried it out, and 94% of those facilities carried it out less than five times a year；as a result, the possibility that did not master newborn baby copter conveyance more was suggested. It is unknown when and where the next large-scale disaster will occur, but we believe that further improvement of anti-disaster measures is necessary in the future.