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目的探讨应用新生儿危重病例评分法对新生儿病变状态进行评价的意义。方法应用新生儿危重病例评分法对82例新生儿在不同病程阶段进行1～3次的评分,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)三组病变状态,比较不同分值、不同病变状态与患儿病情、多器官功能受损情况及预后的关系。结果随着病程的进展,评分分值呈逐渐增高的趋势(P<0.001),危重状态发生率呈下降趋势,而非危重状态发生率呈升高趋势(P<0.001)。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<0.001)。结论新生儿危重病例评分可以准确、有效的反映新生儿的病变状态,应用此法可提高病危新生儿的救治质量。
Objective To explore the significance of assessing the status of neonatal lesions by using the critically ill neonatal case score method. Methods Eighty-two newborn infants were scored 1 to 3 times at different stages of the disease according to the critically ill neonatal score method. According to the scores of different grades, critically ill patients (<70 points) and critically ill patients (70-90 points) (> 90 points) three groups of lesion status, compare different scores, different lesion status and the patient’s condition, multiple organ dysfunction and prognosis. Results As the course of disease progressed, the scoring scores showed an increasing trend (P <0.001), the incidence of critically ill patients showed a downward trend, while that of non-critically ill patients showed an increasing trend (P <0.001). The lower the score, the more severe the disease, the higher the incidence of multiple organ dysfunction and the higher the mortality rate (P <0.001). Conclusion The score of critically ill neonatal cases can accurately and effectively reflect the status of neonatal lesions. The application of this method can improve the quality of treatment of critically ill neonates.