Epidemiological investigation of high altitude polycythemia in native Tibetans dwelling in different altitude area

白玛康卓; 巴桑次仁; 次仁央宗; 罗布占堆; 央拉; 春花; 格桑曲珍; 崔超英

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Epidemiological investigation of high altitude polycythemia in native Tibetans dwelling in different altitude area

更新时间：2026-01-09

- Epidemiological investigation of high altitude polycythemia in native Tibetans dwelling in different altitude area
- Journal of Army Medical University Vol. 38, Issue 3, Pages: 220-225(2016)
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  CLC： R195.4;R339.54;R555.1
- Published：2016
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白玛康卓,巴桑次仁,次仁央宗,罗布占堆,央拉,春花,格桑曲珍,崔超英.不同海拔地区世居藏族人群高原红细胞增多症患病率的流行病学调查[J].陆军军医大学学报(原第三军医大学学报),2016,38(03):220-225.

　Bai Makangzhuo,Ba Sangciren,Ci Renyangzong,Luo Buzhandui,Yang La,Chun Hua,Ge Sangquzhen,Cui Chaoying.Epidemiological investigation of high altitude polycythemia in native Tibetans dwelling in different altitude area[J].J Amry Med Univ (J Third Mil Med Univ),2016,38(03):220-225.
白玛康卓,巴桑次仁,次仁央宗,罗布占堆,央拉,春花,格桑曲珍,崔超英.不同海拔地区世居藏族人群高原红细胞增多症患病率的流行病学调查[J].陆军军医大学学报(原第三军医大学学报),2016,38(03):220-225. DOI：

　Bai Makangzhuo,Ba Sangciren,Ci Renyangzong,Luo Buzhandui,Yang La,Chun Hua,Ge Sangquzhen,Cui Chaoying.Epidemiological investigation of high altitude polycythemia in native Tibetans dwelling in different altitude area[J].J Amry Med Univ (J Third Mil Med Univ),2016,38(03):220-225. DOI：

摘要

目的了解拉萨和阿里地区人群高原红细胞增多症（high altitude polycythemia，HAPC）的患病率和相关影响因素。方法采用多阶段整群抽样方法对拉萨（海拔3 680~3 800 m）和阿里（海拔4 400~4 700 m）2个地区的2 757例世居藏族人口进行问卷调查和实验室血液学检查，采用SPSS 13.0统计软件完成统计分析。结果 2 757例中HAPC患者共72例，总患病率为2.6%。单因素分析结果显示，阿里地区HAPC患病率明显高于拉萨地区（5.2% vs 1.9%，P0.05）；男性患病率明显高于女性（3.4% vs 1.9%，P0.05）；吸烟人群的患病率明显高于非吸烟人群（4.7% vs 2.1%，P0.05）；不同职业者中患病率最高的是牧民（9.2%），其次是个体户者（7.3%），家庭月收入最低组HAPC患病率最低（2.1%）。HAPC患病率与饮酒、文化程度和各年龄段的差异均无统计学意义（P0.05）。经Logistic逐步回归分析发现海拔（P0.01）、性别（P0.01）和职业（P0.01）是高原红细胞增多症的影响因素。结论拉萨和阿里地区人群高原红细胞增多症的总患病率较低，海拔、性别和职业是影响其发生的因素。

Abstract

Objective To investigate the prevalence of high altitude polycythemia (HAPC) and its influencing factors in native long dwelling Tibetans in Lhasa and Ngari Prefecture. Methods The survey was carried out on 2 757 adult native Tibetans who dwelled in Lhasa area (at an altitude of 3 680~3 800 m) or Ngari Prefecture (at an altitude of 4 400~4 700 m). Questionnaire survey and laboratory blood testing were conducted

and the results were analyzed with SPSS 13.0 software. Results There were 72 HAPC patients found among the 2 757 subjects

with a prevalence of 2.6% in the cohort. Univariate analysis indicated that the prevalence of HAPC was significantly higher in the Ngari Prefecture than the Lhasa area (5.2% vs 1.9%

P0.05)

in the males than the females (3.4% vs 1.9%

P0.05)

and in the smokers than the non-smokers (4.7% vs 2.1%

P0.05). Among different occupations

the prevalence was the highest in herdsmen (9.2%) followed by the self-employed (7.3%). But

the prevalence was the lowest in those having the lowest family’s month-earning (2.1%). There were no significant differences in the prevalence among the alcohol consumptions

education levels and ages (P0.05). Logistic regression analysis found that altitude (P0.01)

sex (P0.01) and occupation (P0.01) were influencing factors for HAPC. Conclusion The prevalence of HAPC is quite low for the native Tibetans dwelling in Lhasa and Ngari Prefecture. Altitude

sex and occupation are influencing factors for its occurrence.

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