Roeggla G, Roeggla M, Podolsky A, Wagner A, Laggner A N
Department of Emergency Medicine, University of Vienna, Austria.
J R Soc Med. 1996 Mar;89(3):141-3. doi: 10.1177/014107689608900307.
Reports of acute mountain sickness (AMS) at moderate altitude show a wide variability, possibly because of different investigation methods. The aim of our study was to investigate the impact of investigation methods on AMS incidence. Hackett's established AMS score (a structured interview and physical examination), the new Lake Louise AMS score (a self-reported questionnaire) and oxygen saturation were determined in 99 alpinists after ascent to 2.94 km altitude. AMS incidence was 8% in Hackett's AMS score and 25% in the Lake Louise AMS score. Oxygen saturation correlated inversely with Hackett's AMS score with no significant correlation with the Lake Louise AMS score. At moderate altitude, the new Lake Louise AMS score overestimates AMS incidence considerably. Hackett's AMS score remains the gold standard for evaluating AMS incidence.
关于中度海拔地区急性高山病（AMS）的报告显示出很大的变异性，这可能是由于调查方法不同所致。我们研究的目的是调查调查方法对AMS发病率的影响。在99名登山者上升到海拔2.94千米后，测定了哈克特既定的AMS评分（结构化访谈和体格检查）、新的路易斯湖AMS评分（自我报告问卷）以及血氧饱和度。在哈克特的AMS评分中，AMS发病率为8%，而在路易斯湖AMS评分中为25%。血氧饱和度与哈克特的AMS评分呈负相关，与路易斯湖AMS评分无显著相关性。在中度海拔地区，新的路易斯湖AMS评分显著高估了AMS发病率。哈克特的AMS评分仍然是评估AMS发病率的金标准。
