不同运输方式下某部赴高原驻训人员急性高原反应发生情况调查

陈勇; 陈志军; 段小军; 魏富春; 王金光; 邓杰; 冯美龙; 王莘文; 罗勇军; 曾东

doi:10.16016/j.1000-5404.201608054

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不同运输方式下某部赴高原驻训人员急性高原反应发生情况调查

军事医学 | 更新时间：2020-08-05

- 不同运输方式下某部赴高原驻训人员急性高原反应发生情况调查
- Survey on acute mountain sickness when army enters high altitude plateau by different transportation modes
- 第三军医大学学报 2017年39卷第2期页码：107-110
- 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：
  
  段小军, 电话: (023)68765290, E-mail: dxj9@163.com Duan Xiaojun, Tel: (023)68765290, E-mail: dxj9@163.com
- 基金信息：
  
  重庆市社会民生科技创新专项(CSTC 2016shmszx0630)
- DOI：10.16016/j.1000-5404.201608054
  中图分类号： R594.3;R821.52
- 纸质出版日期：2017-1-30，
  
  收稿日期：2016-8-9，
  
  录用日期：2016-11-4
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陈勇, 陈志军, 段小军, 等. 不同运输方式下某部赴高原驻训人员急性高原反应发生情况调查[J]. 第三军医大学学报, 2017,39(2):107-110.

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, 2017,39(2):107-110.
陈勇, 陈志军, 段小军, 等. 不同运输方式下某部赴高原驻训人员急性高原反应发生情况调查[J]. 第三军医大学学报, 2017,39(2):107-110. DOI： 10.16016/j.1000-5404.201608054.

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, 2017,39(2):107-110. 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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