Abstract:

Objective　To evaluate the application effect of the modified Newborn Early Warning Score (MNEWS) in the disease assessment and treatment intervention of high-risk newborns. Methods　A total of 120 high-risk newborns treated in Dongguan Qishi Hospital from November 2021 to April 2023 were prospectively included and were divided into a control group (60 cases) and an observation group (60 cases) according to the random number table method. In the control group, there were 34 boys and 26 girls, aged 0.41 (0.33, 0.58) h, with a body weight of (3.56±0.31) kg. In the observation group, there were 28 boys and 32 girls, aged 0.41 (0.33, 0.60) h, with a body weight of (3.52±0.33) kg. The control group used the traditional NEWS to assess the conditions and intervention measures for the newborns, while the observation group used the MNEWS. Both groups were continuously intervened until the children were discharged from hospital. The length of hospital stay, incidence of complications, transfer rate, recovery discharge rate, and parental satisfaction were compared between the two groups. Independent sample t test, χ² test, and rank sum test were used. Results　The length of hospital stay in the observation group was (3.62±0.33) d, which was shorter than that in the control group [(5.73±1.12) d], with a statistically significant difference (P<0.001). The incidence of complications of the observation group was lower than that of the control group [33.33% (20/60) vs. 58.33% (35/60)], the transfer rate of the observation group was lower than that of the control group [1.67% (1/60) vs. 15.00% (9/60)], and the recovery discharge rate of the observation group was higher than that of the control group [95.00% (57/60) vs. 71.67% (43/60)], with statistically significant differences (all P<0.05). The parental satisfaction in the observation group was higher than that in the control group [96.67% (58/60) vs. 83.33% (50/60)] (P<0.05). Conclusions　In the evaluation and treatment intervention of high-risk newborns, the MNEWS has a significant effect, which can not only effectively shorten the hospital stay, reduce the incidence of complications and transfer rate, promote the newborns' recovery, and improve the parental satisfaction, but also is suitable for the rapid identification of critically ill and potentially critically ill patients, with clinical promotion value.

Key words:

High-risk newborns, Modified Newborn Early Warning Score, Disease assessment, Treatment intervention

摘要：

目的　评估改良新生儿早期预警评分在高危新生儿病情评估与治疗干预中的应用效果。方法　前瞻性纳入2021年11月至2023年4月在东莞市企石医院治疗的高危新生儿120例，按随机数字表法分为对照组（60例）和观察组（60例）。对照组男34例、女 26例，日龄0.41（0.33，0.58）h，体重（3.56±0.31）kg；观察组男28例、女 32例，日龄0.41（0.33，0.60）h，体重（3.52±0.33）kg。对照组采用传统新生儿早期预警评分评估患儿病情及干预措施，观察组采用改良新生儿早期预警评分评估患儿病情及干预措施。两组均持续干预至患儿出院。比较两组患儿住院时间、并发症发生率、转院率、痊愈出院率及家长满意度。采用独立样本t检验、χ²检验、秩和检验。结果　观察组住院时间（3.62±0.33）d，短于对照组的（5.73±1.12）d，差异有统计学意义（P<0.001）。观察组并发症发生率33.33%（20/60）低于对照组58.33%（35/60），观察组转院率1.67%（1/60）低于对照组15.00%（9/60），观察组痊愈出院率95.00%（57/60）高于对照组71.67%（43/60），差异均有统计学意义（均P<0.05）。观察组家长满意度96.67%（58/60）高于对照组83.33%（50/60）（P<0.05）。结论　采用改良新生儿早期预警评分较传统评分能够更精准地评估高危新生儿病情及是否需要进一步治疗干预，可以有效缩短患儿住院时间，降低并发症发生率与转院率，促进患儿的痊愈，提高家长满意度，具有临床推广价值。

关键词:

高危新生儿, 改良新生儿早期预警评分, 病情评估, 治疗干预