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玉树地震救援人员发生急性高原反应的相关因素分析

Related factor analysis of the occurrence of acute mountain sickness among rescue workers in Yushu Earthquake

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【作者】 高宏光张志韩恩泽胡海曹钰

【Author】 Gao Hongguang,Zhang Zhi,Han Enze,Hu Hai,Cao Yu(Emergency Department,West China Hospital of Sichuan University,Chengdu,Sichuan 610041,China)

【机构】 四川大学华西医院急诊科

【摘要】 目的探讨高原救援人员发生急性高原反应(AMS)的相关影响因素及相应的预防、干预措施,为高原地区救援提供实践参考依据。方法随机选取63例救援特警进行问卷调查,运用SPSS软件进行数据分析,针对相关因素对发生AMS影响进行卡方检验,对劳动强度评分与恢复时间进行逻辑回归分析。结果通过63例救援人员调查分析,发现救援人员短时间内进入高原方式的不同对发生AMS差异无统计学意义,既往是否发生过高原反应对发生AMS差异有统计学意义,劳动强度与恢复时间具有相关性。结论短时间内飞机及汽车两种方式进入高原发生高原反应比例均较高,而通过适度地、有计划的安排不同强度的救援任务,采取完善的预防措施,可能降低短时间内进入高原救援部队的AMS发生率。

【Abstract】 Objective To investigate factors influencing the occurrence of acute mountain sickness(AMS) and related prevention and intervention measures,in order to provide reference for rescue in plateau regions.Methods 63 cases were chosen randomly for a questionnaire-type survey.The SPSS software was used for Chi-square test to evaluate the effect of related influencing factors on AMS occurrence.The intensity of labor and recovery time was investigated by logistic regression analysis.Results After the investigation of 63 rescue workers,it found that for the one who entry the plateau in a short time,there are no significant difference of AMS occurrence between the two modes of entry the plateau.There was significant difference between people who has ever occurred AMS and those has never occurred AMS.Intensity of labor was correlated in recovery time.Conclusion In a short time,the modes of entry the plateau rapidly by airplane and vehicle both had a higher occurrence of AMS.However,it is possible for emergency assistance armies to decrease AMS occurrence rates by fulfilling some moderate and planned rescue workloads,and taking proper prevention measures.

  • 【文献出处】 重庆医学 ,Chongqing Medicine , 编辑部邮箱 ,2012年12期
  • 【分类号】R594.3
  • 【被引频次】6
  • 【下载频次】103
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