【摘要】：目的調(diào)查不同地區(qū)青年男性進藏后急性高原反應(AMS)的發(fā)生情況,探討不同地區(qū)人群高原環(huán)境適應能力的醫(yī)學地理學差異。方法對從不同地區(qū)進入高原的青年男性AMS發(fā)生情況進行整群抽樣調(diào)查,參照軍用標準,采用AMS癥狀學評分法對其進行分度與評分。為區(qū)分不同地理環(huán)境差異,對人員生活所在地自然地理因素進行系統(tǒng)聚類分析,并用非參數(shù)檢驗進行驗證。采用單因素方差分析研究不同地區(qū)青年男性AMS癥狀評分的差異。結果根據(jù)聚類分析結果將研究對象生活所在地分為5個地區(qū),各組地理指標之間差異具有統(tǒng)計學意義(P0.01)。研究顯示不同地區(qū)人群AMS的發(fā)生率存在顯著差異(P0.05),其中地區(qū)2人員的AMS發(fā)生率顯著高于地區(qū)3、4、5(P0.05)。地區(qū)2人員頭痛發(fā)生率為82.8%,與地區(qū)3、4、5比較差異有統(tǒng)計學意義(P0.05),乏力和嗜睡癥狀發(fā)生率分別為72.4%、27.6%,與地區(qū)5比較差異有統(tǒng)計學意義(P0.05),惡心、嘔吐癥狀發(fā)生率為37.9%,與地區(qū)3比較,差異有統(tǒng)計學意義(P0.05)。地區(qū)1和地區(qū)3人員眼花癥狀發(fā)生率與地區(qū)5比較差異具有統(tǒng)計學意義(P0.05)。結論不同地區(qū)人群AMS的發(fā)生存在明顯醫(yī)學地理差異,不同地區(qū)人群對高原的適應能力有所不同,來自低海拔地區(qū)人群的AMS癥狀較高海拔地區(qū)人群重。應根據(jù)人群地域差異采取有針對性的AMS防護措施。
[Abstract]:Objective to investigate the occurrence of acute high altitude reaction (AMS) in young men from different regions and to explore the difference of their medical geography in adapting to environment in different regions. Methods the incidence of AMS in young men from different areas to plateau was investigated by cluster sampling. According to the military standard, AMS symptom scoring method was used to grade and score it. In order to distinguish the difference of different geographical environment, the author makes a systematic cluster analysis of the natural geographical factors in the place where the personnel live, and verifies it by non-parametric test. Univariate analysis of variance (ANOVA) was used to study the difference of AMS symptom score among young men in different areas. Results according to the results of cluster analysis, the living places of the subjects were divided into 5 regions, and the differences among the geographical indexes were statistically significant (P0.01). The results showed that there was significant difference in the incidence of AMS among different population groups (P0.05), and the incidence of AMS in area 2 was significantly higher than that in area 3 (P0.05). The incidence of headache in area 2 was 82.8, and the difference was statistically significant (P0.05). The incidence of fatigue and somnolence were 72.4% and 27.662%, respectively. Compared with area 5, the incidence of nausea and vomiting was 37.9, and the difference was statistically significant compared with area 3 (P0.05). The incidence of eye symptom in area 1 and 3 was significantly different from that in area 5 (P0.05). Conclusion there are obvious medical geographical differences in the occurrence of AMS in different areas, and the adaptability of different populations to the plateau is different. The AMS symptoms of people from low altitude areas are heavier than those from high altitude areas. AMS protection measures should be taken according to the regional differences of population.
【作者單位】： 第三軍醫(yī)大學高原軍事醫(yī)學系軍事醫(yī)學地理學教研室、高原醫(yī)學教育部重點實驗室、全軍高原醫(yī)學重點實驗室;
【基金】：國家自然科學基金(41201090)~~
【分類號】：R188

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