新生儿危重病例评分法在新生儿科的临床应用

Clinical Application of Critical Score for Neonates in Pediatrics

目的探讨新生儿危重病例评分法在新生儿科临床应用的意义。方法对我院新生儿科收治的资料完整的358例新生儿进行新生儿危重病例评分。按不同的评分分值分为极危重(<70分)、危重(70～90分)、非危重(>90分)三组,比较不同分值与患儿病情状态、多器官功能受损情况及病情转归的关系。结果评分分值越低,病变程度越重,多器官功能不全的发生率及死亡率越高(P<0.01)。结论新生儿危重病例评分法能准确、有效的反映新生儿的病变状态,应用此法可指导对危重新生儿的救治及预后判断。

Objective To evaluate the clinical value of critical score for neonates in pediatrics. Methods The data of 358 neonates in our hospital was evaluated by the critical score for neo- nates. By different scores, the neonates are divided into extremely critical （〈70）, critical （70- 90）, and non-critical （ 〉90）, andseverity of disease, multiple organ damage and disease prog- nosis were compared.Resets The lower the score is and the severe the lesion is, the higher the multiple organ dysfunction and mortality is （P〈0.01）. Conclusion Critical score for neonates system can accurately and effectively reflect the severity of disease of the newborn, so this method can guide the treatment and prognosis of critically ill newborns.