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目的:观察不同海拔高度无创颅内压监测(ICP)与路易斯湖AMS计分系统(AMS LLSS)评分相关性情况。方法:使用MICP-1A型号无创颅内压监测仪对进入不同高海拔地区工作的筑养路职工进行无创颅内压检测,记录第1天、第2天、第3天、第1周、15天的颅内压波动情况,同时进行AMS LLSS评分,并进行数据对比分析。结果:急进3 000m海拔工作的筑养路职工急进后的第1、2天增高有显著性差异,随着急进时间的延长而逐步下降,急进后第3天与西宁地区对比已无统计学差异,而在急进后的第7、15天已低于西宁地区,且第15天降低已存在极显著性差异。急进4 000m海拔工作的筑养路职工第1、2、3、7天增高有显著性差异,随着急进时间的延长而逐步下降,第15天与西宁地区对比已无统计学差异。AMS LLSS评分在急进3 000m和4 000m海拔后的第1天没有明显的升高,而在急进后第2天升高,很快第3天后恢复,没有表现出一个持续异常的情况。ICP与AMS LLSS评分二者的变化规律相符。结论:ICP监测方法操作简单,且可靠性高,具有安全性,值得广泛应用,观察AMS LLSS在各时间段的变化趋势及规律,分析各项症状指标的发生率,早发现、早诊断、早治疗急性轻度高原病。
OBJECTIVE: To observe the correlation between noninvasive intracranial pressure monitoring (ICP) and Lake Louise AMS scoring system (AMS LLSS) at different altitudes. Methods: Noninvasive intracranial pressure testing was performed on construction workers who entered different areas with high altitude using MICP-1A noninvasive intracranial pressure monitor. The first day, the second day, the third day, the first week and the 15th day Of intracranial pressure fluctuations, while AMS LLSS score, and data comparison. Results: There was a significant difference between the first day and the second day of construction workers who hurriedly work at an altitude of 3 000 m, and they decreased gradually with the extension of the advancing time. There was no significant difference between XJR and Xining after the third day of emergency. However, it was lower than Xining on the 7th and 15th days after the emergency, and there was a significant difference on the 15th day. There was a significant difference between the first, second, third and seventh days of construction workers who hurriedly work at an altitude of 4,000m, and gradually decreased with the extension of the advancing time. There was no significant difference between the 15th day and the Xining area. The AMS LLSS score did not show any significant increase on the first day after the acute 3 000 m and 4 000 m altitudes, but rose on the second day after the acute attack and quickly recovered on the third day without showing a persistent abnormality. The changes of ICP and AMS LLSS scores are consistent. Conclusion: The method of ICP monitoring is simple, reliable and safe. It is worth to be widely used. The trends and regularities of AMS LLSS in different time periods are observed. The incidences of various symptoms and signs are analyzed. Early detection, early diagnosis, early diagnosis, Treatment of acute mild altitude sickness.