目的探讨新生儿急性生理学评分(SNAP)与危重病例评分在新生儿疾病诊治中的应用。方法选择2007年入住我科的新生儿,于住院24h内同时应用两种评分系统进行评分,对不同疾病患儿根据得分情况分为非危重、危重、极危重,比较两种评分结果中危重与极危重所占比例,分析两种评分方法在判断住院新生儿不同疾病的危重程度是否存在差异。结果研究期间共收治3768例新生儿。SNAP评出危重患儿1960例,极危重患儿414例,共58.1%;危重评分评出危重患儿1978例,极危重患儿406例,共58.3%,两种方法差异无统计学意义(P>0.05),在对各器官系统功能判定方面差异均无统计学意义(P均>0.05)。结论两种评分系统均能准确判断新生儿疾病的危重程度。 Objective To investigate the application of acute physiology score (SNAP) and critical case score in the diagnosis and treatment of neonatal diseases. Methods Neonates admitted to our department in 2007 were scored by applying two scoring systems at the same time within 24 hours of hospitalization. The children with different diseases were divided into non-critically, critically and critically ill patients according to their scores. Critically critical proportions, analysis of two scoring methods in determining the severity of different diseases in hospital newborns whether there is a difference. Results A total of 3768 newborns were treated during the study period. A total of 1960 critically ill children and 414 critically ill children were identified by SNAP. A total of 58.1% of critically ill children were enrolled in the review, of which critically ill critically ill children were found in 1978 and critically ill children were 406 (58.3%). There was no significant difference between the two methods P> 0.05). There was no significant difference in the determination of the function of various organs (P> 0.05). Conclusion Both scoring systems can accurately determine the severity of neonatal disease.