急性高原反应两种症状学评分标准比较  

A comparison of two scoring systems about symptomatology in acute mountain sickness

作　　者：吴玉[1,2,3] 杨晓红[1,2,3] 刘运胜[1,2,3] 李鹏 

机构地区：[1]第三军医大学高原军事医学系军事医学地理学教研室 [2]高原医学教育部重点实验室 [3]全军高原医学重点实验室,重庆400038

出　　处：《西北国防医学杂志》2015年第7期449-451,共3页Medical Journal of National Defending Forces in Northwest China

基　　金：国家自然科学基金青年项目(41201090;41101093)

摘　　要：目的:比较急性高原反应(AMS)两种症状学评分标准,为急进高原后急性高原病的诊断与评估提供参考依据。方法:117名研究对象空运到海拔3 850m高原后1d填写《急性高原反应自主感觉症状表》,分别采用《急性高原反应的诊断和处理原则》(GJB 1098-91)和《加拿大路易斯湖评分标准》(LLSS)对AMS症状进行定量评估,并比较两者之间的差异。结果:依GJB 1098-91标准评分结果,AMS发病率为74.36%;依LLSS结果,AMS发病率为53.83%。两种评分标准发病率结果有显著性差异(P<0.01)。结论:群体在冬季乘飞机急进海拔3 850m地区时,AMS发病率较高,在诊断轻度AMS时,军标标准诊断率高于LLSS评分标准,而在中度和重度AMS诊断上无明显差异。Objective：To compare the two scoring systems about symptomatology in acute mountain sickness（AMS）to provid references in the diagnosis and assessment of AMS.Methods：The autonomous sensory symptoms tables of AMS were filled in by 117 subjects within 24 hours after reaching plateau（3 850m）by air.Symptoms of AMS were evaluated by the principle of diagnosis and treatment of acute mountain sickness（GJB 1098-91）and Lake Louise acute mountain sickness scoring system（LLSS）.Results：Incidences of AMS were 74.36% and 53.83% respectively when evaluated by GJB 1098-91 and LLSS.The two results were significantly different（P〈0.01）.Conclusion：Incidence of AMS is high in subjects who enter the high altitude of 3 850 mrapidly by air in winter.Army standard shows a higher rate of diagnosis than LLSS in the diagnosis of mild AMS rather than moderate and severe AMS.

关 键 词：高原 急性高原反应 空运 评分标准 

分 类 号：R821.52[医药卫生—临床医学]