不同运输方式下某部赴高原驻训人员急性高原反应发生情况调查

发布时间：2018-04-18 19:22

本文选题：急性高原反应 + 运输方式　；参考：《第三军医大学学报》2017年02期

【摘要】：目的研究不同运输方式下赴高原驻训人员的急性高原反应差异。方法随机抽签选取急进高原的300名男性官兵作为研究对象,根据运输方式不同分为3组,A组:从出发地(200 m海拔)乘飞机到达拉萨(3 680 m海拔),休整后公路运输到目的地(4 400 m海拔);B组:从出发地乘火车沿青藏铁路至拉萨站,休整后公路运输到目的地;C组:从出发地乘火车沿青藏铁路至格尔木站(2 800 m海拔),休整后公路运输到目的地。在出发地和目的地分别检测脉搏、血压和指血氧饱和度,采用急性高原反应国际标准进行问卷调查,分析3组高原反应发生率,并统计学分析各组差异。结果 3组调查对象的急性高原反应均为轻度,A、B、C组第1、2天高原反应发生率分别为39.1%、40.2%,33.0%、36.0%,46.0%、45.0%,组间差异有统计学意义(P0.01),其中B组发生率最低。在海拔4 400 m阶段,3组调查对象的脉搏均在正常值区间,收缩压差异无统计学意义(P0.05),而B组的血氧饱和度最高,达到(88.0±4.8)%,与A组(80.6±6.6)%、C组(84.7±4.0)%比较,差异有统计学意义(P0.01)。结论充分利用铁路运输结合必要的公路运输,具有人员相对容易习服、适应环境快等优势,更适宜大规模人员向高原输送。
[Abstract]:Objective to study the difference of acute altitude reaction (AHR) among personnel in training at high altitude under different transportation modes.Methods 300 male officers and soldiers who entered the plateau were randomly drawn for the study.According to the different modes of transport, they are divided into three groups: group A: from the point of departure at an altitude of 200 m) to Lhasa at an altitude of 3,680 m, and after rest, the road is transported to the destination of 4 400 m above sea level, group B: from the point of departure, by train, along the Qinghai-Tibet Railway to Lhasa Station,After rest, road transportation to destination group C: from the point of departure, take the train along the Qinghai-Tibet Railway to Golmud Station at 2 800 m above sea level, and after rest, the road will be transported to the destination.Pulse, blood pressure and finger oxygen saturation were detected at the beginning and destination respectively. The incidence of altitude reaction in three groups was analyzed by using the international standard of acute altitude reaction, and the differences among the three groups were analyzed statistically.Results the incidence of acute high altitude reaction in group C was 39.1%. The incidence of acute high altitude reaction in group C was 39.0% and 36.0%, respectively. There was a significant difference between the three groups (P 0.01), and the incidence rate in group B was the lowest.At 4 400 m above sea level, the pulse of the three groups were in the normal range, and there was no significant difference in systolic blood pressure (P 0.05), but the highest oxygen saturation in group B (88.0 卤4.8), which was significantly higher than that in group A (80.6 卤6.6) and group C (84.7 卤4.0%).Conclusion making full use of railway transportation combined with necessary road transportation has the advantages of relatively easy acclimation and quick adaptation to the environment and is more suitable for large-scale personnel transportation to the plateau.
【作者单位】：解放军77126部队医院;第三军医大学西南医院关节外科;第三军医大学高原军事医学系军事医学地理学教研室;解放军77146部队卫生队;
【基金】：重庆市社会民生科技创新专项(CSTC 2016shmszx0630)~~
【分类号】：R82

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