Obata T, Matsuda S, Akasawa A, Iikura Y, Masaki T
Department of Allergy, National Children's Hospital.
Arerugi. 1992 Jan;41(1):15-21.
We evaluated the relationship between blood gas tensions and a clinical scoring system in pediatric asthma patients, who were divided into two groups according to their ages (under 5 years and over 6 years). The clinical score was derived from Mitsui, which was constructed using reference only to clinical symptoms and signs. The clinical scores had a statistically significant correlation with PaO2, PaCO2, SaO2 and pH in both groups. However there were fluctuations between clinical score and blood gas tensions. A low clinical score did not exclude hypoxemia. There were no statistical differences between the two groups, but subjects under 5 years old showed better correlation. This scoring system is useful to evaluate the degree of asthma attack, especially severe attack, both in younger (under 5 years) and older (over 6 years) asthmatic patients.
我们评估了小儿哮喘患者血气张力与临床评分系统之间的关系,这些患者根据年龄分为两组(5岁以下和6岁以上)。临床评分源自三井评分系统,该系统仅根据临床症状和体征构建。两组患者的临床评分与动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)、血氧饱和度(SaO2)和酸碱度(pH)均存在统计学显著相关性。然而,临床评分与血气张力之间存在波动。临床评分低并不能排除低氧血症。两组之间无统计学差异,但5岁以下的受试者相关性更好。该评分系统有助于评估哮喘发作的程度,尤其是重度发作,对年龄较小(5岁以下)和较大(6岁以上)的哮喘患者均适用。