Aldrete J A
Department of Anesthesiology, University of Florida, Tampa, USA.
J Perianesth Nurs. 1998 Jun;13(3):148-55. doi: 10.1016/s1089-9472(98)80044-0.
The Aldrete Score has withstood the changes in anesthesia and surgical care that have developed in the past three decades. Nevertheless, it is imperative that (1) a modification is made to incorporate the most effective monitor of the respiratory and hemodynamic functions, e.g., pulse oximetry; and (2) the five indices previously used be expanded by incorporating five more indices including dressing, pain, ambulation, fasting/feeding, and urine output to evaluate patients undergoing ambulatory surgery and anesthesia. A patient's recovery from anesthesia and surgery, using 10 indices graded 0, 1, or 2, would provide criteria for street fitness and discharge to home when the patient reaches a postanesthesia recovery score of 18 or higher.
阿尔德雷特评分法经受住了过去三十年麻醉和外科护理领域的变革。然而，必须做到以下两点：（1）进行修改，纳入最有效的呼吸和血流动力学功能监测手段，如脉搏血氧饱和度测定法；（2）将先前使用的五个指标进行扩展，再纳入另外五个指标，包括伤口敷料情况、疼痛、活动能力、禁食/进食情况及尿量，以评估接受门诊手术和麻醉的患者。使用0、1或2三个等级的10个指标来评估患者从麻醉和手术中的恢复情况，当患者术后恢复评分达到18分或更高时，可为其恢复到可上街活动及出院回家提供标准。
