玉树地震救援人员发生急性高原反应的相关因素分析
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摘要
目的探讨高原救援人员发生急性高原反应(AMS)的相关影响因素及相应的预防、干预措施,为高原地区救援提供实践参考依据。方法随机选取63例救援特警进行问卷调查,运用SPSS软件进行数据分析,针对相关因素对发生AMS影响进行卡方检验,对劳动强度评分与恢复时间进行逻辑回归分析。结果通过63例救援人员调查分析,发现救援人员短时间内进入高原方式的不同对发生AMS差异无统计学意义,既往是否发生过高原反应对发生AMS差异有统计学意义,劳动强度与恢复时间具有相关性。结论短时间内飞机及汽车两种方式进入高原发生高原反应比例均较高,而通过适度地、有计划的安排不同强度的救援任务,采取完善的预防措施,可能降低短时间内进入高原救援部队的AMS发生率。
Objective To investigate factors influencing the occurrence of acute mountain sickness(AMS) and related prevention and intervention measures,in order to provide reference for rescue in plateau regions.Methods 63 cases were chosen randomly for a questionnaire-type survey.The SPSS software was used for Chi-square test to evaluate the effect of related influencing factors on AMS occurrence.The intensity of labor and recovery time was investigated by logistic regression analysis.Results After the investigation of 63 rescue workers,it found that for the one who entry the plateau in a short time,there are no significant difference of AMS occurrence between the two modes of entry the plateau.There was significant difference between people who has ever occurred AMS and those has never occurred AMS.Intensity of labor was correlated in recovery time.Conclusion In a short time,the modes of entry the plateau rapidly by airplane and vehicle both had a higher occurrence of AMS.However,it is possible for emergency assistance armies to decrease AMS occurrence rates by fulfilling some moderate and planned rescue workloads,and taking proper prevention measures.
Objective To investigate factors influencing the occurrence of acute mountain sickness(AMS) and related prevention and intervention measures,in order to provide reference for rescue in plateau regions.Methods 63 cases were chosen randomly for a questionnaire-type survey.The SPSS software was used for Chi-square test to evaluate the effect of related influencing factors on AMS occurrence.The intensity of labor and recovery time was investigated by logistic regression analysis.Results After the investigation of 63 rescue workers,it found that for the one who entry the plateau in a short time,there are no significant difference of AMS occurrence between the two modes of entry the plateau.There was significant difference between people who has ever occurred AMS and those has never occurred AMS.Intensity of labor was correlated in recovery time.Conclusion In a short time,the modes of entry the plateau rapidly by airplane and vehicle both had a higher occurrence of AMS.However,it is possible for emergency assistance armies to decrease AMS occurrence rates by fulfilling some moderate and planned rescue workloads,and taking proper prevention measures.
引文
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[12]Purkayastha SS,Bhaumik G,Sharma RP,et al.Effects of mountaineering training at high altitude(4350m)on physical work performance of women[J].Aviat Space En-viron Med,2000,71(7):685-691.
[13]符中明,江萍,任雨笙,等.高原肺水肿患者血清一氧化氮、一氧化氮合酶及内皮素浓度的变化[J].中华急诊医学杂志,2001,10(5):306-307.
[14]涂继伟,林泽艳.新兵进藏急性高原病诱因分析及预防措施探讨[J].西南军医,2009,11(5):912-913.
[15]张玉贵,孙梅,詹国清,等.对快速进入高原部队预防急性高原病的措施探讨[J].临床军医杂志,2009,37(1):41-43.
[2]Nakashima M.An introduction of the seventh internation-al symposium on hypoxia[J].Jpn J Mountain Med,1991,1(1):121-123.
[3]周红.高原工作者高原反应及应对策略[J].华西医学,2009,24(8):2211-2214.
[4]尹昭云,谢印芝,牛文忠,等.急性高原反应的诊断和处理原则[J].解放军预防医学杂志,1997,15(6):7-9.
[5]王宏运,高亮.适应性训练预防急性高原反应的疗效观察[J].临床军医杂志,2008,36(1):107-108.
[6]王岩飞,次旦群佩,孙红娟,等.体重指数与急性高原病发病的相关分析[J].中华急诊医学杂志,2006,15(1):85-86.
[7]柴自杰,鱼敏,曾艳,等.快速反应部队急性高原反应研究[J].第四军医大学学报,2004,25(8):749-751.
[8]杜萍.高原反应与预防[J].甘肃科技,2009,25(7):141-142.
[9]常海娟,刘猛,庞丽萍,等.基于非参数检验的高原反应影响因素分析[J].中国工程科学,2009,11(2):65-69.
[10]罗勇,李俊峡,李国凯,等.急性高原病98例临床分析[J].华北国防医药,2007,6(3):47-48.
[11]田开新,覃军,黄岚,等.急进高原体能变化与急性高原反应关系初探[J].重庆医学,2006,35(12):1085-1087.
[12]Purkayastha SS,Bhaumik G,Sharma RP,et al.Effects of mountaineering training at high altitude(4350m)on physical work performance of women[J].Aviat Space En-viron Med,2000,71(7):685-691.
[13]符中明,江萍,任雨笙,等.高原肺水肿患者血清一氧化氮、一氧化氮合酶及内皮素浓度的变化[J].中华急诊医学杂志,2001,10(5):306-307.
[14]涂继伟,林泽艳.新兵进藏急性高原病诱因分析及预防措施探讨[J].西南军医,2009,11(5):912-913.
[15]张玉贵,孙梅,詹国清,等.对快速进入高原部队预防急性高原病的措施探讨[J].临床军医杂志,2009,37(1):41-43.
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