本文選題：低壓低氧 + 紅細(xì)胞攜氧�。� 參考：《中國輸血雜志》2017年08期

【摘要】：目的分析世居高原、急進(jìn)高原、高原習(xí)服訓(xùn)練、世居平原人群紅細(xì)胞攜放氧的變化。方法應(yīng)用便攜式血氧飽和度檢測儀、血氧分析儀、血細(xì)胞分析儀,檢測世居高原、急進(jìn)高原、高原習(xí)服訓(xùn)練人群血氧飽和度(Sp O2)、氧親和力(P50)及血紅蛋白(Hb)數(shù)據(jù)并進(jìn)行比較分析,以觀察高原低氧環(huán)境對紅細(xì)胞攜放氧的影響。結(jié)果急進(jìn)高原組的氧飽和度顯著低于其他3組;氧親和力數(shù)據(jù)顯示習(xí)服組的氧釋放能力為4個(gè)群組中最高;血紅蛋白檢測數(shù)據(jù)顯示習(xí)服訓(xùn)練組顯著高原其他3組,且世居高原人群血紅蛋白數(shù)據(jù)低于其他3組人群。結(jié)論世居高原人群對于高原低壓低氧環(huán)境的適應(yīng)主要來自于其較高的氧釋放能力;世居平原的人群在進(jìn)入高原初期主要通過血紅蛋白值的增加來提高其攜氧能力,隨著進(jìn)入高原時(shí)間的延長,其釋放氧的能力會逐步增加以來適應(yīng)高原低壓低氧的環(huán)境。
[Abstract]:Objective to analyze the changes of red blood cell carrying oxygen in people living at high altitude, advancing rapidly to plateau, acclimatizing training at high altitude, and carrying oxygen on red blood cells. Methods the portable blood oxygen saturation tester, blood oxygen analyzer and blood cell analyzer were used to detect and compare the data of blood oxygen saturation (Sp O 2 O 2), oxygen affinity (P50) and hemoglobin (HB) in the people who lived at high altitude, advanced to high altitude and acclimatized at high altitude. To observe the effect of high altitude hypoxia environment on red blood cell carrying oxygen. Results the oxygen saturation of the acclimation group was significantly lower than that of the other three groups, the oxygen affinity data showed that the oxygen release ability of acclimatization group was the highest among the four groups, and the hemoglobin test data showed that the other three groups of acclimation training group were significantly higher than that of the other three groups. And the hemoglobin data of the people living on the plateau were lower than those of the other three groups. Conclusion the adaptation of the people living in the plateau to the low pressure and low oxygen environment of the plateau is mainly due to their high oxygen release ability, and the increase of hemoglobin in the early stage of the plateau is the main way to improve the oxygen carrying capacity of the people living in the plain. With the increase of time to enter plateau, the ability of releasing oxygen will increase gradually to adapt to the environment of low pressure and low oxygen.
【作者單位】： 空軍總醫(yī)院輸血科;軍事醫(yī)學(xué)科學(xué)院野戰(zhàn)輸血研究所;
【基金】：全軍后勤科研重大專項(xiàng)子項(xiàng)(AWS13J004)
【分類號】：R339.5

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