400038 重庆,陆军军医大学(第三军医大学)陆军卫勤训练基地军事医学地理学教研室
Received:15 October 2020,
Revised:2021-02-08,
Published:30 April 2021
移动端阅览
Zhuang RAN, Yu CHEN, Chao TAN, et al. Influence of diffuse oxygen supply on physiological effects in migrants in plateau: a study based on a new accommodation cabin[J]. Journal of Third Military Medical University, 2021, 43(8): 707-714.
Zhuang RAN, Yu CHEN, Chao TAN, et al. Influence of diffuse oxygen supply on physiological effects in migrants in plateau: a study based on a new accommodation cabin[J]. Journal of Third Military Medical University, 2021, 43(8): 707-714. DOI: 10.16016/j.1000-5404.202010080.
目的
2
研究弥散吸氧对移居高原人员缺氧应激、血氧饱和度以及人体代谢过程的影响,阐明新型供氧方式的抗缺氧作用及其可能的分子机制。
方法
2
以移居海拔3 540 m高原某地1年以上的10名高原人员为研究对象,以新研发的弥散供氧住宿方舱为实验场所,研究对象在住宿方舱内连续弥散吸氧3 d,2 h/d。采用自身对照研究方法,检测研究对象吸氧前后生理指标、血常规指标及血浆代谢谱的变化。
结果
2
① 研究对象在住宿方舱内弥散吸氧期间,第1天舱内氧浓度为(22.85±0.36)%、第2天为(22.52±0.76)%、第3天为(22.57±1.05)%。②研究对象吸氧后血氧饱和度显著提高、脉率明显下降(
P
<
0.01);血压吸氧前后比较差异无统计学意义。③研究对象吸氧后共有44种代谢物发生了显著改变(VIP>1,
P
<
0.05)。其中,正离子模式下鉴定出18种,负离子模式下鉴定出26种。发现主要有4条代谢通路发生了明显变化[impact>0.05,-log
10
(
P
)>1.3
]
。
结论
2
通过弥散供氧方式吸氧能显著提高机体的心肺供氧能力,有效缓解高原缺氧寒冷环境对人体代谢的影响。
Objective
2
To determine the effects of diffuse oxygen inhalation on hypoxia stress
blood oxygen saturation and human metabolic process in migrants in plateau
and to illustrate the anti-hypoxia effect of a new oxygen supply mode and its possible molecular mechanism.
Methods
2
Ten workers who had migrated to a plateau at an altitude of 3 540 m for more than 1 year were recruited as the subjects. They were asked to breathe oxygen in a newly developed accommodation cabin with diffuse oxygen supply for 3 consecutive days
2 h per day. Their physiological indexes
blood routine indexes and plasma metabolic profiles before and after oxygen intake were measured and compared.
Results
2
① The oxygen concentration was (22.85±0.36)% on the first day
(22.52±0.76)% on the second day and (22.57±1.05)% on the third day during the diffusion oxygen inhalation in the accommodation cabin. ②The oxygen saturation level and pulse rate were significantly increased after oxygen inhalation in the subjects (
P
<
0.01)
but there was no significant change in blood pressure (
P
>
0.05). ③ There were 44 metabolites significantly changed (VIP
>
1
P
<
0.05). Among them
18 metabolites were identified in the positive ion mode and 27 in the negative ion mode. And 4 major metabolic pathways also had significant changes [impact
>
0.05
-log
10
(
P
)
>
1.3
]
.
Conclusion
2
Oxygen inhalation
via
diffuse oxygen supply can effectively improve the capacity of cardiopulmonary oxygen supply
and alleviate the impact of hypoxia and cold environment on human metabolism.
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