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首页> 外文期刊>Medicine. >Differences Between the 'Chinese AMS Score' and the Lake Louise Score in the Diagnosis of Acute Mountain Sickness
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Differences Between the 'Chinese AMS Score' and the Lake Louise Score in the Diagnosis of Acute Mountain Sickness

机译：“中国AMS评分”和路易斯湖评分在急性高山病诊断中的差异

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摘要

The Chinese AMS score (CAS) is used in clinical medicine and research to diagnosis acute mountain sickness (AMS). However, the Lake Louise Score (LLS) is the well-accepted standard for diagnosing AMS. The difference between the CAS and LLS questionnaires is that the CAS considers more nonspecific symptoms. The aim of the present study was to evaluate differences in AMS prevalence according to the LLS and CAS criteria. We surveyed 58 males who traveled from Chongqing (300m) to Lhasa (3658m) via the Qinghai-Tibet train. Cases of AMS were diagnosed using LLS and CAS questionnaires in a few railway stations at different evaluation areas along the road. We subsequently evaluated discrepancies in values related to the prevalence of AMS determined using the 2 types of questionnaires (CAS and LLS). The prevalence of CAS-diagnosed AMS indicated that the percentage of AMS cases among the 58 young men was 29.3% in Golmud, 60.3% in Tanggula, 63.8% in Lhasa, 22.4% on the first day after arrival in Lhasa, 27.6% on the second day, 24.1% on the third day, and 12.1% on the fourth day. The prevalence of LLS-diagnosed AMS in Golmud was 10.3%, 38% in Lhasa, and 6.9% on day 1, the prevalence in each station was lower than that as assessed by the CAS. Our experimental data indicate that AMS diagnoses ascertained using the CAS indicate a higher AMS prevalence than those ascertained using the LLS. Through statistical analysis, the CAS seems capable of effectively diagnosing AMS as validated by LLS (sensitivity 61.8%, specificity 92.7%).
机译：中国AMS分数（CAS）用于临床医学和研究，以诊断急性高山病（AMS）。但是，路易斯湖评分（LLS）是诊断AMS的公认标准。 CAS和LLS问卷之间的区别在于CAS考虑了更多非特异性症状。本研究的目的是根据LLS和CAS标准评估AMS患病率的差异。我们调查了58名通过青藏铁路从重庆（300m）到拉萨（3658m）的男性。使用LLS和CAS问卷在沿道路不同评估区域的几个火车站中诊断出AMS病例。我们随后评估了使用两种类型的问卷（CAS和LLS）确定的与AMS患病率相关的值的差异。经CAS诊断的AMS患病率表明，在58名年轻男性中，AMS病例的比例分别为：格尔木29.3％，唐古拉60.3％，拉萨63.8％，到达拉萨第一天的22.4％，拉萨27.6％。第二天，第三天为24.1％，第四天为12.1％。在格尔木市，经LLS诊断的AMS患病率为10.3％，在拉萨为38％，在第1天为6.9％，每个站点的患病率均低于CAS评估的患病率。我们的实验数据表明，使用CAS确定的AMS诊断表明，使用LLS确定的AMS患病率更高。通过统计分析，经LLS验证，CAS似乎能够有效诊断AMS（敏感性61.8％，特异性92.7％）。

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