【摘要】：目的:為常駐低海拔地區(qū)的部隊(duì),特別是應(yīng)急機(jī)動(dòng)作戰(zhàn)部隊(duì)急進(jìn)高原執(zhí)行任務(wù)提供衛(wèi)勤保障;為我國(guó)西部大開發(fā)戰(zhàn)略的實(shí)施,登山運(yùn)動(dòng)及旅游事業(yè)的發(fā)展提供參考依據(jù)。 方法:隨機(jī)選取某部急進(jìn)青藏高原駐訓(xùn)的226名官兵(平均年齡20.84±2.03歲)為研究對(duì)象,采用階梯習(xí)服方法,應(yīng)用焦慮自評(píng)量表、流調(diào)用抑郁自評(píng)量表、Lake Louise高山病評(píng)分表、連線測(cè)驗(yàn)、釘板試驗(yàn)、聽覺語詞學(xué)習(xí)測(cè)驗(yàn)等測(cè)試工具,選取海拔1000m駐地(出發(fā)前及返回后)、2800m、3800m、4500m為測(cè)試點(diǎn),對(duì)官兵在不同海拔高度下的高原習(xí)服策略及急性高山病發(fā)病情況、心理狀態(tài)、認(rèn)知功能進(jìn)行測(cè)評(píng)和對(duì)比研究。 結(jié)果:1.急進(jìn)高原官兵的急性高山病癥狀評(píng)分陽性率不同高度間對(duì)比差異顯著(χ~2=11.184,p0.01),而且評(píng)分陽性率與海拔高度間呈顯著正相關(guān)(γ=1.000,p0.01)。2.進(jìn)駐高原官兵出發(fā)前海拔1000m的駐地焦慮評(píng)分與其他各高度間差異顯著(p0.05),抑郁評(píng)分海拔4500m和3800m比較差異顯著(p0.05),急進(jìn)高原官兵各海拔高度的焦慮、抑郁評(píng)分高于國(guó)內(nèi)常模(p0.05),兩量表評(píng)分隨海拔增加均呈輕度加重趨勢(shì),脫高原后有短期增高改變。3.官兵不同海拔高度左手釘板試驗(yàn)評(píng)分均數(shù)與1000m比較差異顯著(p0.05),1000m(返回原地)與3800m比較差異顯著(p0.05);右手:3800m、4500m分別與1000m比較差異顯著(p0.05);4.連線測(cè)驗(yàn)A:各高度兩兩比較差異顯著(p0.01),連線測(cè)驗(yàn)B海拔3800m與其他各高度比較差異顯著(p0.01);5.聽覺語詞學(xué)習(xí)測(cè)試:三項(xiàng)測(cè)試結(jié)果均為各高度與1000m比較差異顯著(p0.01)。序列A:3800m與4500m比較差異顯著(p0.05):序列B:4500m與各高度比較差異顯著(p0.05);回憶序列A:1000m(返回原地)分別與3800m、4500m比較差異顯著(p0.05)。
[Abstract]:Objective: to provide medical support for troops stationed in low altitude, especially emergency mobile combat troops, to carry out their tasks in the plateau, and to provide reference for the implementation of the strategy of western development, the development of mountaineering and the development of tourism. Methods: a total of 226 officers and soldiers (mean age 20.84 鹵2.03 years old) were randomly selected for training in Qinghai-Tibet Plateau. The self-rating anxiety scale (SAS) was used by the step acclimatization method, and the, Lake Louise alpine disease score scale was used. The test tools, such as wired test, nail board test and auditory word learning test, were used to test the site at 1000m above sea level (before departure and after returning), 2800m, 3800m and 4500m, respectively. The altitude acclimatization strategy, the incidence of acute alpine disease, psychological state and cognitive function of officers and soldiers at different altitude were evaluated and compared. The result is 1: 1. The positive rate of acute alpine disease symptom score was significantly different among different heights (蠂 ~ 2 ~ (11.184) P 0.01), and the positive rate was positively correlated with altitude (緯 = 1.000 p _ (0.01). There was a significant difference between the anxiety scores at 1000m altitude and other heights (p0.05), depression scores (4500m) and 3800m (p0.05). The depression score was higher than the national norm (p0.05). The scores of the two scales increased slightly with the increase of altitude. The mean scores of left-handed nail plate test at different altitude were significantly different from that of 1000m (p0.05), 1000m (return to place) and 3800m (p0.05), right hand (3800m) 4500m and 1000m (p0.05), respectively (p0.05). Line test A: the difference between each height was significant (p0.01), the connection test B altitude 3800m compared with other height significant difference (p0.01); 5. Auditory word learning test: the results of the three tests were significantly different from that of 1000m (p0.01). Sequence A: 3800m was significantly different from 4500m (p0.05), sequence B: 4500m was significantly different from height (p0.05), recall sequence A: 1000m was significantly different from 3800m4500m (p0.05).
【學(xué)位授予單位】：蘭州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2006
【分類號(hào)】：R82

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 柴自杰,魚敏,曾艷,楊淑娟,楊華,胡東風(fēng),司相山;快速反應(yīng)部隊(duì)急性高原反應(yīng)研究[J];第四軍醫(yī)大學(xué)學(xué)報(bào);2004年08期

2 王應(yīng)立,李權(quán)超,解亞寧,楊陽,陳星偉;綜合心理干預(yù)對(duì)外訓(xùn)士兵心理健康的影響[J];第四軍醫(yī)大學(xué)學(xué)報(bào);2004年22期

3 吳天一;高原醫(yī)學(xué)的黃金時(shí)代──從第二屆世界高原醫(yī)學(xué)及生理學(xué)大會(huì)看當(dāng)前高原醫(yī)學(xué)進(jìn)展[J];高原醫(yī)學(xué)雜志;1997年02期

4 王偉,張西洲,陳占詩,馬勇,田小寧;進(jìn)駐不同海拔高度一年的青年皮褶厚度與體脂量調(diào)查[J];高原醫(yī)學(xué)雜志;1997年02期

5 牟信兵,葉剛林,曾鳳蘭,王建玲,崔樹娣;急性高原病患者心理狀況評(píng)定[J];高原醫(yī)學(xué)雜志;2001年02期

6 朱平，李桂香，高良貴;久居高海拔地區(qū)離退休干部返平原后脫適應(yīng)SCL─90測(cè)試結(jié)果分析[J];高原醫(yī)學(xué)雜志;1995年04期

7 李學(xué)義,吳興裕,付川,沈小鳳,吳燕紅,王濤;急性輕、中度缺氧暴露對(duì)人情緒的影響 (英文)[J];航天醫(yī)學(xué)與醫(yī)學(xué)工程;2000年01期

8 張玉山,崔明;應(yīng)對(duì)方式和社會(huì)支持對(duì)綜合性醫(yī)院住院病人焦慮、抑郁的影響[J];健康心理學(xué)雜志;2000年02期

9 牛文忠,林合成;西藏高原高寒條件下提高部隊(duì)生存能力的措施[J];解放軍預(yù)防醫(yī)學(xué)雜志;2000年03期

10 何英強(qiáng),楊貴平,李權(quán)超,胡蔥,馮宇;新兵心理健康及其相關(guān)因素的研究[J];解放軍預(yù)防醫(yī)學(xué)雜志;2001年05期

，

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