中医预防干预对高原驻训预备役男性军人中医体质及相关指标影响的初步研究

发布时间：2018-05-20 16:15

本文选题：高原驻训 + 预备役军人　；参考：《云南中医学院》2017年硕士论文

【摘要】：目的:观察和研究高原驻训对预备役男性军人脉搏、血压、血氧饱和度、肺活量、血液成分(白细胞、红细胞、血红蛋白)、骨密度、肝肾功能(AST、ALT、CR、BUN)等临床指标的影响。同时,观察高原驻训对中医体质的影响,进而探讨高原驻训对预备役军人身体机能的影响机制,为预备役军人科学进行高原训练提供中医预防调养方案和医学指导,使参训人员尽快达到高原习服(即生活在高原缺氧环境中一段时间后,通过自身生理调节,能适应高原缺氧状态,缺氧初期的各种症状可明显减轻),进一步提高预备役部队的战斗力,为人员的身体健康和生命安全服务。方法:选取赴高原驻训的某部300名年龄跨度18-45岁,平均年龄(21.84±1.82)岁的预备役男性军人作为调查研究对象,并于集结开展适应性训练后,经过长途机动进入高原(海拔跨度在1875米-4252米之间,)到达海拔4208米的某军事训练基地,按照现役部队统一要求,集中管理,统一训练及食宿保障,进行为期60天的高原驻训,进高原前及进高原后第7天和驻训结束时(第60天)各进行中医体质辨识1次,同时各检查记录脉搏、血压、肺活量、血氧饱和度、血液成分(白细胞、红细胞、血红蛋白)、骨密度、肝肾功能(AST、ALT、Cr、BUN)等临床指标,观察高原驻训前后各项指标的变化情况后将统计结果进行组间比较。将本次驻训中高原病的发生率设置为观察组,与相同条件下文献报道的部队高原驻训中高原病发病率的结果为对照组进行比较。观察组在常规高原卫勤保障基础上根据中医体质辨识结果给予相应中医预防保健措施干预,对照组实施常规卫勤保障,比较两组不同保障条件下高原病的发病率。结果:1.完成本研究的研究对象样本依从性100%。2.1观察组与对照组比较:轻度高原病发生率比较,P0.01,具有极显著性差异;中度高原病发生率比较,P0.01具有极显著性差异;重度高原病例发生率比较,P0.05,具有显著性差异。观察组通过疗效判定为优秀,对照组通过疗效判定为中等。2.2通过对驻训人员各时期的中医体质辨识,所有参训人员均为平和质。高原驻训后第7天与进高原前中医体质转化分比较,P0.05,显示无明显差异;高原驻训60天后与进高原前比较,P0.01,具有极显著性差异。2.3预备役军人高原驻训7天后与进高原前脉搏、血氧饱和度、白细胞、血红蛋白、红细胞等指标比较,P0.01,具有极显著性差异;血压比较,P0.05,具有显著性差异;肺活量、骨密度、肝功能、肾功能比较,P0.05,显示无明显差异。2.4预备役军人高原驻训60天后与进高原前白细胞、血红蛋白、红细胞比较,P0.01,具有极显著性差异;脉搏、血氧饱和度、肺活量、骨密度比较,P0.05,具有显著性差异;血压、肝功能、肾功能比较,P0.05,显示无明显差异。结论:高原驻训时在常规卫勤保障基础上通过中医体质辨识加用中医预防保健干预措施能降低高原反应的发病率,疗效优于高原常规卫勤保障。且通过中医体质辨识给予个体化的中医预防保健措施对驻训预备役军人的中医体质及其相关指标有明显的改善作用,驻训后预备役军人相关生理指标优于驻训前。表明该方法对提升预备役军人身体素质具有明显促进作用。方法简便易行、安全有效,值得在今后的高原训练中进一步加以研究和推广运用。
[Abstract]:Objective: To observe and study the influence of high altitude training on the pulse, blood pressure, blood oxygen saturation, vital capacity, blood components (white blood cells, red blood cells, hemoglobin), bone mineral density, AST, ALT, CR, BUN, and other clinical indexes of male soldiers in reserve service. The mechanism of the influence of human body function is to provide the prevention and regulation scheme of traditional Chinese medicine and medical guidance for the plateau training of the reserve servicemen, so that the trainees can reach the plateau as soon as possible (that is, after a period of time in the anoxic environment of the plateau, through their own physiological regulation, they can adapt to the state of high anoxia, and the symptoms of the early anoxia can be obvious. " To improve the combat effectiveness of the reserve troops and to serve the health and life safety of the personnel. Methods: 300 male soldiers of 18-45 years old, with an average age of (21.84 + 1.82) years of age (21.84 + 1.82), were selected as the subject of investigation and study. The plateau (between 1875 m -4252 meters above sea level) reached a military training base of 4208 meters above sea level. In accordance with the unified requirements of active service troops, centralized management, unified training and accommodation support were carried out for a period of 60 days, seventh days before and after entering the plateau and at the end of training (sixtieth days), 1 times of TCM Constitution identification were carried out at the same time. Examination and recording of pulse, blood pressure, vital capacity, blood oxygen saturation, blood components (white blood cells, red blood cells, hemoglobin), bone mineral density, liver and kidney function (AST, ALT, Cr, BUN) and other clinical indicators, observe the changes of the indicators before and after the training of the plateau before and after group comparison. The incidence of the altitude sickness in this training is set as the observation group, Compared with the control group, the observation group was compared with the control group on the basis of traditional plateau medical support on the basis of the traditional Chinese Medical Constitution identification results, and the control group carried out routine medical support and compared the two groups under different guarantee conditions. The incidence of disease. Results: 1. the study object sample compliance 100%.2.1 observation group and the control group compared with the control group: the incidence of mild altitude sickness, P0.01, has a very significant difference; the incidence of moderate altitude sickness, the incidence of P0.01 has a very significant difference; the incidence of severe high altitude cases, P0.05, with significant differences. The group through the curative effect was judged to be excellent, and the control group through the curative effect was judged to be medium.2.2 through the identification of the Chinese Medical Constitution of the trainees at all times. All the participants were flat and qualitative. Seventh days after the training of the plateau, the physique transformation of traditional Chinese medicine before the plateau was compared, P0.05, showing no obvious difference; the plateau was compared to the plateau before the training of the plateau, and compared with the plateau, P0.01, There is very significant difference in.2.3 reserve military plateau training 7 days after the training of plateau pulse, blood oxygen saturation, white blood cell, hemoglobin, red blood cells, and so on, P0.01, with significant difference; blood pressure comparison, P0.05, significant difference; lung capacity, bone density, liver function, renal function comparison, P0.05, showing no significant difference.2.4 60 days after training, the reserve soldiers were compared with the white blood cells, hemoglobin and red blood cells before the plateau, P0.01, with significant difference in pulse, blood oxygen saturation, lung capacity, bone density, P0.05, and there was significant difference. Blood pressure, liver function, renal function comparison, P0.05, showed no significant difference. On the basis of physical constitution identification plus traditional Chinese medicine preventive health intervention measures, the incidence of plateau response can be reduced, and the curative effect is superior to the plateau routine medical support. The physiological indexes of the post training reserve servicemen are better than those before the training. It shows that the method has an obvious promoting effect on improving the physical quality of the reserve servicemen. The method is simple and convenient and safe and effective. It is worth further studying and popularizing in the future plateau training.
【学位授予单位】：云南中医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R82

【参考文献】