急进高原官兵高原习服与AMS发病情况、心理状态及认知功能研究

发布时间：2018-11-03 11:34

【摘要】：目的:为常驻低海拔地区的部队,特别是应急机动作战部队急进高原执行任务提供卫勤保障;为我国西部大开发战略的实施,登山运动及旅游事业的发展提供参考依据。方法:随机选取某部急进青藏高原驻训的226名官兵(平均年龄20.84±2.03岁)为研究对象,采用阶梯习服方法,应用焦虑自评量表、流调用抑郁自评量表、Lake Louise高山病评分表、连线测验、钉板试验、听觉语词学习测验等测试工具,选取海拔1000m驻地(出发前及返回后)、2800m、3800m、4500m为测试点,对官兵在不同海拔高度下的高原习服策略及急性高山病发病情况、心理状态、认知功能进行测评和对比研究。结果:1.急进高原官兵的急性高山病症状评分阳性率不同高度间对比差异显著(χ~2=11.184,p0.01),而且评分阳性率与海拔高度间呈显著正相关(γ=1.000,p0.01)。2.进驻高原官兵出发前海拔1000m的驻地焦虑评分与其他各高度间差异显著(p0.05),抑郁评分海拔4500m和3800m比较差异显著(p0.05),急进高原官兵各海拔高度的焦虑、抑郁评分高于国内常模(p0.05),两量表评分随海拔增加均呈轻度加重趋势,脱高原后有短期增高改变。3.官兵不同海拔高度左手钉板试验评分均数与1000m比较差异显著(p0.05),1000m(返回原地)与3800m比较差异显著(p0.05);右手:3800m、4500m分别与1000m比较差异显著(p0.05);4.连线测验A:各高度两两比较差异显著(p0.01),连线测验B海拔3800m与其他各高度比较差异显著(p0.01);5.听觉语词学习测试:三项测试结果均为各高度与1000m比较差异显著(p0.01)。序列A:3800m与4500m比较差异显著(p0.05):序列B:4500m与各高度比较差异显著(p0.05);回忆序列A:1000m(返回原地)分别与3800m、4500m比较差异显著(p0.05)。
[Abstract]:Objective: to provide medical support for troops stationed in low altitude, especially emergency mobile combat troops, to carry out their tasks in the plateau, and to provide reference for the implementation of the strategy of western development, the development of mountaineering and the development of tourism. Methods: a total of 226 officers and soldiers (mean age 20.84 卤2.03 years old) were randomly selected for training in Qinghai-Tibet Plateau. The self-rating anxiety scale (SAS) was used by the step acclimatization method, and the, Lake Louise alpine disease score scale was used. The test tools, such as wired test, nail board test and auditory word learning test, were used to test the site at 1000m above sea level (before departure and after returning), 2800m, 3800m and 4500m, respectively. The altitude acclimatization strategy, the incidence of acute alpine disease, psychological state and cognitive function of officers and soldiers at different altitude were evaluated and compared. The result is 1: 1. The positive rate of acute alpine disease symptom score was significantly different among different heights (蠂 ~ 2 ~ (11.184) P 0.01), and the positive rate was positively correlated with altitude (纬 = 1.000 p _ (0.01). There was a significant difference between the anxiety scores at 1000m altitude and other heights (p0.05), depression scores (4500m) and 3800m (p0.05). The depression score was higher than the national norm (p0.05). The scores of the two scales increased slightly with the increase of altitude. The mean scores of left-handed nail plate test at different altitude were significantly different from that of 1000m (p0.05), 1000m (return to place) and 3800m (p0.05), right hand (3800m) 4500m and 1000m (p0.05), respectively (p0.05). Line test A: the difference between each height was significant (p0.01), the connection test B altitude 3800m compared with other height significant difference (p0.01); 5. Auditory word learning test: the results of the three tests were significantly different from that of 1000m (p0.01). Sequence A: 3800m was significantly different from 4500m (p0.05), sequence B: 4500m was significantly different from height (p0.05), recall sequence A: 1000m was significantly different from 3800m4500m (p0.05).
【学位授予单位】：兰州大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：R82

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