国际麻醉学与复苏杂志
國際痳醉學與複囌雜誌
국제마취학여복소잡지
INTERNATIONAL JOURNAL OF ANESTHESIOLOGY AND RESUSCITATION
2010年
5期
417-420
,共4页
咬上唇试验%改良Mallampati分级%气道评估
咬上脣試驗%改良Mallampati分級%氣道評估
교상진시험%개량Mallampati분급%기도평고
Upper lip bite test%Modified Mallampati test%Airway assessment
目的 比较咬上唇试验(upperlipbitetest,ULBT)和改良Mallampati气道评估方法,探讨ULBT在预测国人困难气道插管程度的可行性. 方法 选择全身麻醉患者820例,其中男性432例、女性388例,年龄22岁～79岁,采用双盲法,3组医生分别评估患者的Mallampti分级,ULBT分级和全麻诱导以后的Cormack-Lehane分级.困难气道定义为:Mallampti3～4级,ULBT3级,Cormack-Lehane3～4级.按照筛检试验分别计算改良Mallampati分级方法和ULBT方法的敏感性、特异性、阳性预测值、阴性预测值、准确率、似然比、OR/RR和ROC曲线下面积. 结果 ULBT与改良Mallampati气道分级方法的准确度,灵敏度,特异度,阳性预测值,阴性预测值分别是86.1%,63.46%,89.39%,46.48%,94.4%和73.66%,51.92%,76.82%,24.55%,91.67%. 结论 ULBT相对于改良Mallampati分级有更高的敏感性,特异性和准确率,应该作为临床其他评估气道方法的一个补充,值得临床推广和应用.
目的 比較咬上脣試驗(upperlipbitetest,ULBT)和改良Mallampati氣道評估方法,探討ULBT在預測國人睏難氣道插管程度的可行性. 方法 選擇全身痳醉患者820例,其中男性432例、女性388例,年齡22歲～79歲,採用雙盲法,3組醫生分彆評估患者的Mallampti分級,ULBT分級和全痳誘導以後的Cormack-Lehane分級.睏難氣道定義為:Mallampti3～4級,ULBT3級,Cormack-Lehane3～4級.按照篩檢試驗分彆計算改良Mallampati分級方法和ULBT方法的敏感性、特異性、暘性預測值、陰性預測值、準確率、似然比、OR/RR和ROC麯線下麵積. 結果 ULBT與改良Mallampati氣道分級方法的準確度,靈敏度,特異度,暘性預測值,陰性預測值分彆是86.1%,63.46%,89.39%,46.48%,94.4%和73.66%,51.92%,76.82%,24.55%,91.67%. 結論 ULBT相對于改良Mallampati分級有更高的敏感性,特異性和準確率,應該作為臨床其他評估氣道方法的一箇補充,值得臨床推廣和應用.
목적 비교교상진시험(upperlipbitetest,ULBT)화개량Mallampati기도평고방법,탐토ULBT재예측국인곤난기도삽관정도적가행성. 방법 선택전신마취환자820례,기중남성432례、녀성388례,년령22세～79세,채용쌍맹법,3조의생분별평고환자적Mallampti분급,ULBT분급화전마유도이후적Cormack-Lehane분급.곤난기도정의위:Mallampti3～4급,ULBT3급,Cormack-Lehane3～4급.안조사검시험분별계산개량Mallampati분급방법화ULBT방법적민감성、특이성、양성예측치、음성예측치、준학솔、사연비、OR/RR화ROC곡선하면적. 결과 ULBT여개량Mallampati기도분급방법적준학도,령민도,특이도,양성예측치,음성예측치분별시86.1%,63.46%,89.39%,46.48%,94.4%화73.66%,51.92%,76.82%,24.55%,91.67%. 결론 ULBT상대우개량Mallampati분급유경고적민감성,특이성화준학솔,응해작위림상기타평고기도방법적일개보충,치득림상추엄화응용.
Objective To compare preoperative anesthetic airway evaluation methods of the modified Mallamapti test and Upper lip bite test (ULBT),and to discuss the feasibility of Upper lip bite test on airway assessment. Methods 820 patients admitted for elective surgical procedure requiring endotracheal intubation were prospectively studied to predict difficultly level of intubation. All the patients were assessed preoperatively using the Modified Mallampati Classification and Upper Lip Bite Test. The sensitivity, specificity,positive predictive value, negative predictive value and accuracy were calculated. Results The accuracy, sensitivity, specificity,positive predictive value and negative predictive value of ULBT and the modified Mallamapti test are 86.1%, 63.46%, 89.39%, 46.48%,94.4% and 73.66%, 51.92%, 76.82%, 24.55%, 91.67% repectively. Conclusion Compared to the Modified Mallampati Classification,ULBT has higher accuracy, sensitivity, specificity, positive predictive value and negative predictive value, and should be served as a complementary to other methods. It is also worthy of promotion and application.
