改良 Finnegan 新生儿戒断评分
用途适用： neonates at risk for NAS/NOWS during observation or weaning.
分层Rising scores support escalating supportive care and possible medication; single scores need context.
局限不适用： as a toxicology substitute or outside neonatal protocols. · 易错点： inconsistent inter-rater technique on cry/tremor/tone. · Eat-Sleep-Console pathways may coexist — follow unit policy.
出处Finnegan LP, et al. neonatal abstinence scoring (modified tools in widespread use)
本班次下一步
评完分数后：进场景连算、看相邻评分、打开对应路径。本地参考，不写入 HIS。
方法学 · 公式代入、指南要点与完整说明
适用场景
适用： neonates at risk for NAS/NOWS during observation or weaning.
需要填写的项目
- 哭闹 · 选项
- Sleep after feeding · 选项
- Moro reflex · 选项
- Tremors · 选项
- Increased muscle tone · 选项
- Myoclonic jerks · 选项
- Convulsions · 选项
- Sweating · 选项
- Fever · 选项
- Mottling · 选项
- Frequent yawning (>3–4 / interval) · 选项
- Sneezing (>3–4 / interval) · 选项
- Nasal stuffiness · 选项
- Nasal flaring · 选项
- 呼吸频率 · 选项
- Excessive sucking · 选项
- Poor feeding · 选项
- Regurgitation · 选项
- Projectile vomiting · 选项
- Stools · 选项
计算方法与公式
Sum CNS + metabolic/vasomotor/respiratory + GI published item points each scoring interval.
Score at regular intervals (often q4h; q2h if ≥8). Apply local pharmacologic rules (commonly 3×≥8 or 2×≥12).
公式代入演示
下列数值取自本工具各输入项的示例值，用本页公式在服务端实际算出，供快速核对计算过程。仅演示代入方法，不构成临床建议，也不代表任何真实病例。
| 哭闹 | Excessive high-pitched (2) |
|---|---|
| Sleep after feeding | Sleeps <3 h (1) |
| Moro reflex | Hyperactive (2) |
| Tremors | Moderate–severe when disturbed (2) |
| Increased muscle tone | 否 (0) |
| Myoclonic jerks | 否 (0) |
| Convulsions | 否 (0) |
| Sweating | 否 (0) |
| Fever | 37.2–38.3 °C (1) |
| Mottling | 否 (0) |
| Frequent yawning (>3–4 / interval) | 否 (0) |
| Sneezing (>3–4 / interval) | 否 (0) |
| Nasal stuffiness | 否 (0) |
| Nasal flaring | 否 (0) |
| 呼吸频率 | > 60/min (1) |
| Excessive sucking | 否 (0) |
| Poor feeding | 否 (0) |
| Regurgitation | 否 (0) |
| Projectile vomiting | 否 (0) |
| Stools | Loose (2) |
→Finnegan NAS11分
- Band：≥8 — many protocols increase frequency / consider Rx if repeated
- Common Rx rule：Often 3 consecutive ≥8 or 2 consecutive ≥12 (local protocol)
| 哭闹 | 正常（0） |
|---|---|
| Sleep after feeding | 正常（0） |
| Moro reflex | 正常（0） |
| Tremors | 无（0） |
| Increased muscle tone | 否 (0) |
| Myoclonic jerks | 否 (0) |
| Convulsions | 否 (0) |
| Sweating | 否 (0) |
| Fever | 无（0） |
| Mottling | 否 (0) |
| Frequent yawning (>3–4 / interval) | 否 (0) |
| Sneezing (>3–4 / interval) | 否 (0) |
| Nasal stuffiness | 否 (0) |
| Nasal flaring | 否 (0) |
| 呼吸频率 | 正常（0） |
| Excessive sucking | 否 (0) |
| Poor feeding | 否 (0) |
| Regurgitation | 否 (0) |
| Projectile vomiting | 否 (0) |
| Stools | 正常（0） |
→Finnegan NAS0分
- Band：Below common pharmacologic threshold (often score q4h)
- Common Rx rule：Often 3 consecutive ≥8 or 2 consecutive ≥12 (local protocol)
结果判读与分层
Rising scores support escalating supportive care and possible medication; single scores need context.
指南要点（原创整理）
- Published Finnegan weights.
- Supportive care first.
- 下一步： ESC pathway / neonatology.
以上为依据相应指南的关键推荐、由本站用自己的语言归纳整理（非指南原文）；完整内容请见下方官方来源。
注意事项与局限
- 不适用： as a toxicology substitute or outside neonatal protocols.
- 易错点： inconsistent inter-rater technique on cry/tremor/tone.
- Eat-Sleep-Console pathways may coexist — follow unit policy.
核对与出处 · 可验证治理
参考指南与出处
- Finnegan LP, et al. neonatal abstinence scoring (modified tools in widespread use)
- China neonatology NAS practice notes on zh when cited
指南全文版权归相应学会/期刊所有；本工具仅实现其决策算法并注明出处，全文请经上方官方来源获取。
依据文献年份见参考 · 数据集整理日 2026-10-08
常见问题
常见问题
- 改良 Finnegan 新生儿戒断评分的计算是否上传患者数据？在哪里计算？
- 计算在浏览器本地完成，输入与结果不上传服务器；结果仅供执业医师参考，须结合病史、检查与本机构方案判断，不构成诊断或处方依据。
- 改良 Finnegan 新生儿戒断评分怎么代入计算？能举个例子吗？
- 代入: 哭闹 Excessive high-pitched (2)、Sleep after feeding Sleeps <3 h (1)、Moro reflex Hyperactive (2)、Tremors Moderate–severe when disturbed (2)、Increased muscle tone 否 (0)、Myoclonic jerks 否 (0)、Convulsions 否 (0)、Sweating 否 (0)… → 结果: Finnegan NAS 11 分（Band: ≥8 — many protocols increase frequency / consider Rx if repeated、Common Rx rule: Often 3 consecutive ≥8 or 2 consecutive ≥12 (local protocol)） 代入: 哭闹 正常（0）、Sleep after feeding 正常（0）、Moro reflex 正常（0）、Tremors 无（0）、Increased muscle tone 否 (0)、Myoclonic jerks 否 (0)、Convulsions 否 (0)、Sweating 否 (0)… → 结果: Finnegan NAS 0 分（Band: Below common pharmacologic threshold (often score q4h)、Common Rx rule: Often 3 consecutive ≥8 or 2 consecutive ≥12 (local protocol)）
核对流程与方法学
核对与依据
本工具的公式与计算方法已在本页明示、公开可逐一核查。其公式、系数与阈值依据上方「参考指南与出处」列出的权威来源核对。想了解本站对全部临床工具的核对流程与出处覆盖情况，见 临床工具核对表与方法学 →