目的研究不同运输方式下赴高原驻训人员的急性高原反应差异。方法随机抽签选取急进高原的300名男性官兵作为研究对象,根据运输方式不同分为3组,A组:从出发地(200 m海拔)乘飞机到达拉萨(3 680 m海拔),休整后公路运输到目的地(4 400 m海拔);B组:从出发地乘火车沿青藏铁路至拉萨站,休整后公路运输到目的地;C组:从出发地乘火车沿青藏铁路至格尔木站(2 800 m海拔),休整后公路运输到目的地。在出发地和目的地分别检测脉搏、血压和指血氧饱和度,采用急性高原反应国际标准进行问卷调查,分析3组高原反应发生率,并统计学分析各组差异。结果 3组调查对象的急性高原反应均为轻度,A、B、C组第1、2天高原反应发生率分别为39.1%、40.2%,33.0%、36.0%,46.0%、45.0%,组间差异有统计学意义(P<0.01),其中B组发生率最低。在海拔4 400 m阶段,3组调查对象的脉搏均在正常值区间,收缩压差异无统计学意义(P>0.05),而B组的血氧饱和度最高,达到(88.0±4.8)%,与A组(80.6±6.6)%、C组(84.7±4.0)%比较,差异有统计学意义(P<0.01)。结论充分利用铁路运输结合必要的公路运输,具有人员相对容易习服、适应环境快等优势,更适宜大规模人员向高原输送。 Objective To study the differences of acute altitude sickness among stationed workers in different modes of transport. Methods A total of 300 male officers and men of the rapid plateau were randomly selected for the study. According to the mode of transportation, the three groups were divided into three groups. Group A: Lhasa (3 680 m elevation) by plane from the starting place (200 m above sea level) To the destination (4 400 m above sea level); Group B: train from Qinghai-Tibet Railway to Lhasa Station from the place of departure to the destination after the road break; Group C: train from Qinghai-Tibet Railway to Golmud Station m elevation), road transport to rest after the destination. The pulse rate, blood pressure and finger oxygen saturation were measured at the place of departure and the destination respectively. The international standards of acute altitude sickness were used for questionnaire survey. The incidence of altitude sickness was analyzed and the difference of each group was statistically analyzed. Results The acute altitude sickness was mild in all three groups. The incidences of high altitude sickness were 39.1%, 40.2%, 33.0%, 36.0%, 46.0%, 45.0% The difference was statistically significant (P <0.01), of which B group had the lowest incidence. At the altitude of 4 400 m, the pulse of the three groups of subjects was in the normal range, and there was no significant difference in systolic blood pressure (P> 0.05). The oxygen saturation of group B was the highest (88.0 ± 4.8)%, Compared with group A (80.6 ± 6.6)% and group C (84.7 ± 4.0)%, the difference was statistically significant (P <0.01). Conclusion It is more suitable for large-scale personnel to transport to the plateau by making full use of railway transport combined with the necessary road transport, which has the advantages of relatively easy staff accustomed to adapt to the environment and other advantages.