新生儿危重病例评分在新生儿转运稳定性评价中的应用

目的通过应用新生儿危重病例评分评价新生儿转运的稳定性,指导转运工作,探讨安全转运的方法。方法对2002年11月至2005年10月由我院出车转回至NICU并具备完整危重病例评分资料的110例患儿,按新生儿危重病例评分法于转运前、后两次评分,分析转运稳定性及其与预后的关系。结果非危重组稳定性好,再评分值增加,(P<0.05);极危重组相对稳定,两次评分无显著性差异,(P>0.05);危重组稳定性差,再评分值下降,(P<0.05)。转运稳定性差直接影响了患儿预后。结论基层医院运用新生儿危重病例评分法不仅可作为危重新生儿的转运指征,更有助于上级医院通过评价转运稳定性指导转运工作,使新生儿转运的各个环节更加科学完善,进入良性循环。

Application of score for neonatal critical degree in transporting high risk infant

Objective To guide transportation and promote the quality of transportation by the application of score for neonatal critical degree(SNCD)in evaluating the stability of transporting high-risk infant.Methods According to SNCD,110 newborns with complete critical degree materials transported to our NICU by automobile from November of 2002 to October of 2005 were evaluated before and after transportation to investigate the relationship between transportation stability and prognosis.Results There was good stability and increased score in non-critical group(P<0.05);it was conversely stable in extremely critical group,there was no significant deference between two scores(P>0.05);there was bad stability and decreased score in critical group(P<0.05).Conclusion SNCD can act as the indicator for transportating high-risk infant and is helpful for the higher hospital to guide transportation work.