摘要
美国麻醉医师协会全身状态(American Society of Anesthesiologists Physical Status,ASA-PS)分级系统作为术前评估工具被广泛应用于成年人,但是否适用于小儿仍存在疑问。文章回顾了ASA-PS分级系统的历史沿革及其在成年人中的应用情况,介绍了ASA-PS分级系统在儿科应用中信度的研究,并分析其在儿科应用中信度不高的原因,还介绍了ASA-PS分级系统以外适用于儿科的术前风险评估系统。希望未来能建立针对儿科的术前评估系统或者对现有ASA-PS分级系统进行修订以适应儿科需要。
The American Society of Anesthesiologists(ASA)Physical Status(ASA-PS)grading system is widely used as a preoperative evaluation tool in adults,but whether it is suitable for children is still a question.This article present the history of the ASA-PS and review the literature on its applicability to adults.This article also review the literature on the reliability of its usage in children and analyze the reasons why its credit is low in pediatric practice.New pediatric risk assessment systems are introduced as well.New grading system developed specifically for using in pediatrics,or modification for pediatrics of the existing adult physical status grading system is needed in the future.
作者
胡洁
白洁
Hu Jie;Bai Jie(Department of Anesthesiology,Shanghai Children's Medical Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China)
出处
《国际麻醉学与复苏杂志》
CAS
2020年第10期986-990,共5页
International Journal of Anesthesiology and Resuscitation
关键词
美国麻醉医师协会全身状态分级系统
术前评估
风险评估
儿科
The American Society of Anesthesiologists Physical Status grading system
Preoperative evaluation
Risk assessment
Pediatrics
