Survey on acute mountain sickness when army enters high altitude plateau by different transportation modes

Yon Cheng; Zhijun Chen; Xiaojun Duan; Fuchun Wei; Jinguang Wang; Jie Deng; Meilong Feng; Xinwen Wang; Yongjun Luo; Dong Zeng

doi:10.16016/j.1000-5404.201608054

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Survey on acute mountain sickness when army enters high altitude plateau by different transportation modes

Military Medicine | 更新时间：2020-08-05

- Survey on acute mountain sickness when army enters high altitude plateau by different transportation modes
- J Third Mil Med Univ Vol. 39, Issue 2, Pages: 107-110(2017)
- 作者机构：
  
  1.402760 重庆, 解放军77126部队医院
  2.400038 重庆, 第三军医大学: 西南医院关节外科
  3.高原军事医学系军事医学地理学教研室
  4.402760 重庆, 解放军77146部队卫生队
- 作者简介：
- 基金信息：
  
  Supported by the Special Project of Scientific and Technological Innovation for Scocial Wellbeing Chongqing(CSTC 2016shmszx0630)
- DOI：10.16016/j.1000-5404.201608054
  CLC： R594.3;R821.52
- Published：30 January 2017，
  
  Received：9 August 2016，
  
  Accepted：4 November 2016
扫描看全文
Yon Cheng, Zhijun Chen, Xiaojun Duan, et al. Survey on acute mountain sickness when army enters high altitude plateau by different transportation modes. [J]. J Third Mil Med Univ 39(2):107-110(2017)
DOI：

Yon Cheng, Zhijun Chen, Xiaojun Duan, et al. Survey on acute mountain sickness when army enters high altitude plateau by different transportation modes. [J]. J Third Mil Med Univ 39(2):107-110(2017) DOI： 10.16016/j.1000-5404.201608054.

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(

＜0.01)，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(

0.05)，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(

＜0.01)。

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 differences of acute mountain sickness of the army entering the high altitude plateau for field training by 3 transportation modes

and provide reference for the best transportation mode of entering the plateau to deal with emergencies in the future.

Methods

A total of 300 male army officers and soldiers were selected as the research subjects and divided into 3 groups according to the different transportation modes. Group A was transported by air from the departure place (200 m above sea level) to Lhasa station (3 680 m above sea level) and then to the destination by road transportation after a rest

group B was transported by train from the departure place to Lhasa station along the Qinghai-Tibet railway and then to the destination by road transportation after a rest

and group C was transported by train from the departure place to Golmud station (2 800 m above sea level) along the Qinghai-Tibet railway and then to the destination by road transportation after a rest. Questionnaire survey using the international standard of acute altitude sickness was conducted to analyze the response of the 3 groups at different altitudes. Other examinations included pulse

systolic pressure and finger blood oxygen saturation tests. The incidences of acute mountain sickness in the 3 groups was statistically analyzed.

Results

The incidences of acute mountain sickness in the 3 groups were statistically different (

＜0.01)

and the incidence was lowest in group B. All cases were mild

and no moderate or severe altitude sickness was found. At the altitude of 4 400 m

the pulse of the 3 groups maintained in the normal range

and the systolic pressure among the 3 groups had no statistically significant difference (

0.05)

but the finger blood oxygen saturation of group B was the highest

reaching (88.0±4.8)%

with statistically significant difference with group A and group C .

Conclusion

The best mode for large-scale human transportation to the high altitude plateau is the combination of railway and road

which has the advantages of easier acclimation and quicker adaptation to the high-altitude environment.

关键词

急性高原反应运输方式习服

Keywords

acute mountain sicknesstransportation modesacclimatization

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