几种新生儿危重评分的比较

摘要

Neonatal illness severity score is a scoring system for assessing severity of illness,predicting mortality and guiding clinical work in neonatal intensive care units.It plays an important role in the progressive development of neonatology.This article introduces and compares several illness severity scores commonly used in the world.Compared with score for neonatal acute physiology ( SNAP),score for neonatal acute physiology perinatal extension(SNAPPE) and our country's neonatal illness severity score,cinical risk index for Babies ( CRIB ),score for neonatal acute physiology version Ⅱ ( SNAP-Ⅱ),simplified version of the score for neonatal acute physiology (SNAPPE-Ⅱ) and clinical risk index for babies-revised (CRIB-Ⅱ) simplify the variables,weight the items scientifically,cost less time and predict the motality risk reliably.In conclusion,CRIB,SNAP-Ⅱ,SNAPPE-Ⅱ and CRIB-Ⅱ have better practicability and need to be promoted.%新生儿危重评分是一种评估疾病危重程度,预测死亡风险的评分系统,用以指导新生儿重症监护室的临床工作,对我国日益发展的新生儿医学有其必要性和重要性.该文着重介绍并比较了几种国际上常用的危重评分系统.与新生儿急性生理学评分、新生儿急性生理学评分围生期补充及国内新生儿危重评分相比,新生儿临床危险指数、新生儿急性生理学评分-Ⅱ、新生儿急性生理学评分围生期补充-Ⅱ及新生儿临床危险指数-Ⅱ的变量更精简,分度更科学,评分时间缩短,预测死亡风险的准确性较高,具有更高的实用及推广价值.