摘要
目的:探讨在临床危重新生儿死亡放弃风险的系统评估中应用新生儿急性生理学评分围产期补充-Ⅱ(SNAPPE-Ⅱ)与新生儿危重病例评分(NCIS)的准确性与临床实用性价值。方法:于2017年1月至2019年6月间,选择经我院接受治疗的252例入住新生儿重症监护室(NICU)的危重新生儿作回顾观察对象,依照患儿病情转归情况作分组依据,将之分为转好组与死亡组。所有患儿均经SNAPPE-Ⅱ与NCIS评分,比较上述两类评分标准对患儿死亡放弃风险的预测准确度。结果:SNAPPE-Ⅱ评分转好组低于死亡组(P<0. 05);NCIS评分两组无明显差异(P>0. 05);NCIS单项指标符合患儿的死亡风险高于单项指标不符合患儿(P<0. 05)。结论:在危重新生儿死亡放弃风险评估中,应用SNAPPE-Ⅱ评估系统准确性更佳;而NCIS单项指标评估结果对患儿疾病转归预测具有重要指导意义。
Objective: To analyze the clinical accuracy and practicability of Score for Neonatal Acute Physiology, Perinatal Extension, Version Ⅱ(SNAPPE-Ⅱ) and neonatal critical illness score(NCIS) in the prediction of critical newborn’s death risks.Methods: A total of 252 critical newborns admitted from January 2017 to June 2019 in Neonatal Intensive Care Unit(NICU) were retrospectively studied. According to the clinical outcome, children were assigned into improved group and death group.SNAPPE-Ⅱ and NCIS were performed to compare the prediction accuracy of newborn’s death risks.Results: SNAPPE-Ⅱ score in improved group was lower than that in death group(P<0. 05), while no difference in NCIS was found between the two groups(P>0. 05). The death risks of newborns with qualified NCIS index were higher than those without qualified NCIS index(P<0. 05).Conclusion: SNAPPE-Ⅱ system is proven to be more effective;however, NCIS index is of great importance to predict the prognosis.
作者
裴桂英
姜赤秋
PEI Guiying;JIANG Chiqiu(The Third People's Hospital of Hubei Province,Wuhan 430033,Hubei,China)
出处
《武汉大学学报（医学版）》
CAS
2020年第3期476-480,共5页
Medical Journal of Wuhan University
