重庆医学2018，Vol.47Issue(9)：1210-1211,1214,3.DOI:10.3969/j.issn.1671-8348.2018.09.019
SaO2联合心率诊断急性高原病的临床研究
Clinical study on SaO2combined with heart rate for diagnosing acute mountain sickness
摘要
Abstract
Objective To explore the clinical effect of SaO2and heart rate(HR)for the diagnosis of acute mountain sickness (AMS).Methods A total of 1 062 male soldiers on garrison duty in rapidly entering to high altitude at 3 700-5 400 m from May 2013 to August 2015 were included as the research subjects.The demography data were collected and the AMS symptoms investiga-tion was performed.SaO2and HR were detected and the relationship between SaO2and HR at different altitudes with AMS symp-tom score was analyzed.Results The cut-off value of SaO2for diagnosing AMS in rapidly entering to high altitude at 3 700-<4 300 m was 84.5%(AUC=0.781)with the screening sensitivity of 78.31% and specificity of 72.02%;which of HR for diag-nosing AMS was 89.5 times/min(AUC=0.640)with the screening sensitivity of 71.27% and specificity of 54.63%.When SaO2 was serially connected with HR,its sensitivity was 58.87% and the specificity was 89.23%,while the parallel connection yielded a sensitivity of 90.70% and a specificity of 37.43%.In rapidly entering the altitude at above 5000 m,the cut-off value of SaO2for di-agnosing AMS was 80.5%(AUC=0.825)with the screening sensitivity of 84.62% and specificity of 68.85%;which of HR for di-agnosing AMS was 93.5 times/min(AUC= 0.718)with the screening sensitivity of 53.00% and specificity of 85.25%;when SaO2was serially connected with HR,its sensitivity for diagnosing AMS was 47.01% and specificity was 93.44%,while the paral-lel connection yielded a sensitivity of 90.60% and a specificity of 60.66%.Conclusion SaO2combined with HR can serve as an ob-jective index for the on-site diagnosis of AMS and is convenient for the AMS preliminary screening of large populations.关键词
高原病/急性病/心率/血氧饱和度/筛检Key words
altitude sickness/acute disease/heart rate/blood oxygen saturation/screening分类
医药卫生引用本文复制引用
李彬,阳盛洪,李年华,高亮..SaO2联合心率诊断急性高原病的临床研究[J].重庆医学,2018,47(9):1210-1211,1214,3.基金项目
全军后勤科技重大项目(AWS142005) （AWS142005）
全军医学科技青年培育项目(14QNP021). （14QNP021）
