目的评价高原旅客列车运行初期,客运乘务员在高原作业状态下某些高原适应性生理指标的变化。方法对第4趟进入高原作业的乘务员在高原作业状态下进行高原适应性生理指标的监测。监测指标包括体温、心率、血压、心电图、血氧饱和度等。结果高原作业状态下客运乘务员的心率均加快,心率、血压、心电图高原异常发生率分别为10.42%、45.83%、35.42%,与平原比较,差异有统计学意义;血氧饱和度、肺活量普遍降低。结论在高原旅客列车运行初期,客运乘务员在高原作业状态下高原适应性生理指标发生了一定程度的代偿性变化。 Objective To evaluate the changes of adaptive physiology indexes of some plateau in the early stage of operation of plateau passenger trains and the operation of passenger crews in plateau. Methods The flight attendant entering the plateau in the 4th trip was monitored for plateau-adapted physiological indices during the plateau operation. Monitoring indicators include body temperature, heart rate, blood pressure, electrocardiogram, oxygen saturation and so on. Results The heart rate of passenger attendants accelerated at high altitude. The abnormal rates of heart rate, blood pressure and electrocardiogram were 10.42%, 45.83% and 35.42%, respectively. The difference was statistically significant compared with the plain. The oxygen saturation and the vital capacity were generally lower . Conclusion During the initial operation of passenger trains on the plateau, the altitude adaptive physiological indicators of passenger crews changed to some extent under the operation of plateau.