论文部分内容阅读
目的调查高寒低氧环境下旅游人群急性高原病(acute mountain sickness,AMS)的发病率及进行发病影响因素的研究,以期为AMS的预防和治疗积累基础研究数据。方法 2016年8月以抵达高寒低氧环境旅游人群中的志愿者为对象随机抽样开展调查,使用路易斯湖评分系统(Lake louise scoring system,LLSS)诊断AMS。计数资料比较采用χ~2检验,P<0.05为差异有统计学意义。结果高寒低氧环境下,旅游人群AMS的发病率为64.02%(153/239);男性AMS发病率为46.76%(65/139),女性AMS发病率为88.00%(88/100),差异有统计学意义(P<0.05);平原人群AMS发病率为75.37%(101/134),高原人群AMS发病率为49.52%(52/105),差异有统计学意义(P<0.05);不同年龄段AMS发病率比较,差异无统计学意义(P>0.05),但随着年龄的增加,AMS发病率也随之增加。结论在高寒低氧环境下,旅游人群有较高的AMS发病率,并与旅游者的性别、年龄、高原习服有关,旅游者对高海拔进行阶梯适应是必要的。
Objective To investigate the incidence of acute mountain sickness (AMS) and its influencing factors in the alpine hypoxia environment in order to accumulate basic research data for the prevention and treatment of AMS. METHODS: In August 2016, volunteers from tourist groups who arrived in the alpine hypoxic environment were randomly selected to conduct a survey and the Lake Louise scoring system (LLSS) was used to diagnose AMS. Count data were compared using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results The incidence rate of AMS in tourist population was 64.02% (153/239) in the alpine and hypoxic environment. The incidence of AMS in male was 46.76% (65/139) and the incidence of AMS in female was 88.00% (88/100) (P <0.05). The incidence of AMS in plain group was 75.37% (101/134), the incidence of AMS in high group was 49.52% (52/105), the difference was statistically significant (P <0.05) There was no significant difference in the incidence of AMS (P> 0.05), but the incidence of AMS increased with age. Conclusion In the alpine and hypoxia environment, the tourism population has a higher incidence of AMS, which is related to the gender, age and altitude habitat of the tourists. It is necessary for the tourists to adapt the stairs to the high altitude.