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目的探讨执行玉树抗震救灾医疗保障任务官兵快速进驻高原后出现急性高原反应(AHAR)的临床表现、严重程度及其与性别、年龄、文化程度和人员成分的关系。方法采用自制AHAR问卷调查表,记录分析官兵在海拔4200 m的某兵站(地点1)和海拔3720 m的玉树灾区我部驻地(地点2)出现AHAR的临床表现和严重程度,按性别、年龄、文化程度、人员成分进行分组比较。结果进驻高原后,所有官兵均发生不同程度的AHAR,主要表现为心率增快、头痛与嗜睡等症,且海拔越高,AHAR越严重。不同海拔下AHAR的严重程度与性别和文化程度无相关性(P>0.05);随着年龄的增长AHAR的严重程度呈上升趋势(P<0.01);士兵组AHAR的严重程度低于干部组和聘用及其他人员组,差异均有统计学意义(P<0.01)。结论快速进驻高原地区执行抗震救灾医疗保障任务官兵极易出现AHAR,心率增快为首要表现,其严重程度与年龄、人员成分有关,而与性别、文化程度无关。
Objective To explore the clinical manifestations and severity of acute altitude sickness (AHAR) after officers and soldiers in the Yushu earthquake relief medical mission rapidly entering the plateau and their relationship with gender, age, education level and staff composition. Methods The self-made AHAR questionnaire was used to record and analyze the clinical manifestations and severity of AHAR in the station (locality 2) of a military unit stationed at 4200 m above sea level (station 1) and Yushu at an altitude of 3720 m, according to sex, age, Education level, staff composition comparison. Results After entering the plateau, all officers and soldiers had different degrees of AHAR, mainly manifested as heart rate, headache and drowsiness embolism, and the higher the elevation, the more severe AHAR. There was no correlation between the severity of AHAR and sex and educational level at different altitudes (P> 0.05); the severity of AHAR increased with age (P <0.01); the severity of AHAR in soldiers was lower than that of cadres and Hiring and other personnel groups, the differences were statistically significant (P <0.01). Conclusions AHARs, who are rapidly stationed in the plateau area to carry out earthquake relief medical care tasks, are prone to AHAR. Their heart rate is the primary manifestation. Their severity is related to age and staff composition, but not to gender or educational level.