某部赴玉树抗震救灾期间高原初步习服情况调查.pdfVIP

.738. 临床军医杂志 2011 年8 月第39 卷第4 期 Clin J Med 。但c ， VoL 39 , No. 4 ,Au伊st ， 2011 • ~毒昌F( 访司莹莹m全!r) • 某部赴玉树抗震救灾期间高原初步习服情况调查 祁宝林，康海丽 (解放军青海省军区机关门诊部，膏海 西宁 81∞∞) 摘要:目的 观察了解我区某部官兵赴玉树抗震救灾期间急性高原病发病情况及初步习服高原所需时间。方法 以参加抗震救灾的 1 ∞9 名男性官兵为研究对象。观察期限为30 d，调查官兵头晕头痛、疲乏、心悸、失眠、气短胸闷、胃肠反应、高血压和肺水肿等患有情况。 结果 Tl 期头痛头晕、疲乏、心悸、失眠、气短胸闷、胃肠反应、眼花耳鸣和手足发麻、商血压的患有率高于 T2 和 T3 期(P 0.0剖，而且 T2 期头痛头晕、疲乏、心悸、日光性皮炎的患有率高于T3 期(P 0.05) 。肺水肿仅在T 1 期发生，T2 和 T3 期无肺水肿发生，脑水肿观 察期内均未发生。结论 此次抗震救灾过程中官兵急性高原病发病期限基本确定为赴高原后 1 -7 d; 本次调查对早发现、早治疗和早预 防高原病以及提高部队高原作业能力具有重要意义。 关键词:高原习服z 高原反应;高海拔 申图分类号:R 135.6 文献标志码:AJ也i: 瓜3969/j. i酬.1671-3826 约11ι豆豆l 文章编号:1671-38药(2011 )ω~738~2 Investigation on altitude acclimatization among an army unit during earth. quake relief work in Yushu QiBω-lin ， Kang Hai-li ( Department ofαIt-patient ， Qin阱ai Provincial Military Region Institution , PLA , Xining Qinghai 810∞0 ， China) Abstract: Obj创tive To investigate the morbidity of acute altitude sickness amo吨 the servicemen of an army unit during their earthquake relief work in Yushu ， ωwell as 由ere甲lÍred period for initial acclimatizationωaltitude. Methods A total of 1，∞9 servicemen , who took part in the ear出申ake relief work , were enrolled 倒也e subjects for a 30 days observation. 四ey were inves- tigated forωnditions ， such as h饵dache ， dizziness ，缸tigue ， palpitation , insomnia , oppression in chest , gastrointestinal reaction , hypertension , pulmonary edema , etc. Rωults 四e morbidity of the headache , dizziness , fati伊e ， palpitation , insomnia , oppres- sion in chest , gastrointestinal reaction , hypertension , vertigo tinnitus and numbness in limbs were higher in Tl group 也an inη group or T3 group (P 0.05) , and 也at of headache , dizziness , fatigue , palpitation and solar dermatitis were higher in 12 由an in T3 (P0.05). Onlyin T1，∞curred pulmon町edema. No cerebral edema occurred in 12 ，白皿d 也e observation period. C