反应水平分级(RLS)在脑血管意外的急诊气管插管中的应用  

Application of Reaction Level Scale in Emergency Tracheal Intubation of Patients with Cerebrovascular Accident

作　　者：李锦春[1] 罗汉萍[1] 杨丹[1] 

机构地区：[1]昆明医学院第一附属医院,云南昆明650032

出　　处：《中国现代医生》2009年第32期74-75,78,共3页China Modern Doctor

摘　　要：目的应用反应水平分级(Reaction Level Scale)评估急诊脑血管意外患者的意识水平,明确脑血管意外患者最初的反应水平分级(RLS)是否是进行气管插管的重要参数。方法回顾性分析402例急诊脑血管意外患者的意识水平的分级(RLS)情况,其中11.9%的患者(48例)进行气管插管,对反应水平分级与急诊气管插管之间的关系进行验证,建立回归模型,并分析RLS≥5需要进行气管插管的特异性与敏感性。结果Logistic回归分析显示RLS和插管之间的OR值为38.072,显著性P<0.01。最初的RLS≥5对预测需要插管有83.3%的敏感性和100%的特异性。结论最初的RLS≥5是脑血管意外患者行急诊气管插管的一个有用的指标。但是,它的使用应结合临床范围。Objective To assess the levels of of patients with cerebrovascular accident by using the Reaction Level Scale（RLS） in order to determine if an initial RLS on admission is an important parameter to predict the need for emergency tracheal intubation. Methods The consiousness level of 402 patients was assessed on admission by RLS and analyzed retrospectively. A toal of 48 patients undergoing tracheal intubation（11.9%） were assessed. The relationship between RLS and intubation was analyzed, and the regression model was made,and the sensitivity and specificity of an initial RLS≥5 to predict the need for tracheal intubation were analyzed. Results The logistic regression analysis showed the OR value for relationship between RLS and intubation was 38.072, with a significant difference（P〈0.001 ）. An initial RLS≥5 had a sensitivity of 83.3% and specificity of 100% for predicting the need for tracheal intubation. Conclusion An initial RLS ≥ 5 is found to be a useful guideline to the intubation.However, its use should be combined with clinical situation.

关 键 词：反应水平分级(RLS) 脑血管意外 急诊气管插管 

分 类 号：R743.3[医药卫生—神经病学与精神病学]