Savourey G, Guinet A, Besnard Y, Garcia N, Hanniquet A M, Bittel J
Unité de Thermophysiologie, Centre de Recherches du Service de Santé des Armées, La Tronche, France.
Aviat Space Environ Med. 1995 Oct;66(10):963-7.
This study evaluated the relevance of the Lake Louise acute mountain sickness (AMS) scoring system in comparison with other AMS scoring systems. To achieve this objective nine subjects were submitted to a 9-hr exposure to hypoxia in a hypobaric chamber (altitude 4500-5500 m) that led to the development of AMS. AMS was scored at the end of this exposure period both by questionnaires (Hackett AMS questionnaire, Lake Louise AMS self-report questionnaire, Environmental Symptoms Questionnaire ESQ II and ESQ IV) and by a clinical investigation following the Lake Louise AMS clinical and functional AMS assessment. The AMS scores were between 0 and 9 for the Hackett AMS score, 0 and 38 for the ESQ II AMS score, 0 and 13.7 for the ESQ IV AMS score, 0 and 10 for the Lake Louise AMS self-report, 0 and 2 for the Lake Louise AMS clinical assessment score, and between 0 and 2 for the Lake Louise functional score. All the AMS questionnaire scores were related to the clinical AMS assessment score (p < 0.05) without significant differences between them. The Lake Louise AMS self-report score appeared highly correlated to other AMS scoring systems (Hackett, ESQ II and ESQ IV) (p < 0.05). Suggestions were proposed to improve the sensitivity and the specificity of the Lake Louise AMS scoring questionnaire but also the Lake Louise AMS clinical assessment. In conclusion, this study suggests the relevance of the Lake Louise AMS self-report questionnaire to assess and score AMS with simplicity and rapidity.
本研究评估了路易斯湖急性高山病（AMS）评分系统与其他AMS评分系统相比的相关性。为实现这一目标，9名受试者在低压舱（海拔4500 - 5500米）中暴露于低氧环境9小时，从而引发了急性高山病。在暴露期结束时，通过问卷调查（哈克特AMS问卷、路易斯湖AMS自我报告问卷、环境症状问卷ESQ II和ESQ IV）以及按照路易斯湖AMS临床和功能AMS评估进行的临床检查对急性高山病进行评分。哈克特AMS评分的分数在0至9之间，ESQ II AMS评分在0至38之间，ESQ IV AMS评分在0至13.7之间，路易斯湖AMS自我报告评分在0至10之间，路易斯湖AMS临床评估评分在0至2之间，路易斯湖功能评分在0至2之间。所有AMS问卷评分均与临床AMS评估评分相关（p < 0.05），且它们之间无显著差异。路易斯湖AMS自我报告评分似乎与其他AMS评分系统（哈克特、ESQ II和ESQ IV）高度相关（p < 0.05）。针对提高路易斯湖AMS评分问卷以及路易斯湖AMS临床评估的敏感性和特异性提出了建议。总之，本研究表明路易斯湖AMS自我报告问卷在简单快速地评估和评分急性高山病方面具有相关性。
