急进高原救援队员血氧饱和度、心率、血红蛋白动态监测与防范高原反应风险的研究  

Physiological adaptability of members of Chinese National Earthquake Disaster Emergency Rescue Team （CNEDERT） in altitude of Yushu area of Qinghai province and prevention of acute mountain sickness

作　　者：焦小杰[1] 方涛[1] 樊毫军[1] 侯世科[1] 

机构地区：[1]武警总医院科训科,北京100039

出　　处：《中华急诊医学杂志》2010年第8期829-833,共5页Chinese Journal of Emergency Medicine

摘　　要：目的 通过不间断监测急进高原救援队员在青海玉树地震救援现场的血氧饱和度（SaO2）、心率（HR）、血红蛋白（Hb）动态的变化,评估地震救援人员在高原工作的安全性,为救援医学中高原救援研究提供科学依据.方法 对参加本次救援的32名医疗队员使用指式脉氧仪进行SaO2,HR动态监测、抽取静脉血对Hb进行动态监测,采用国外通用的Lake Louise急性高原病（AMS）评分系统了解高原反应症状.结果 救援人员急进高原急性高原病发病率为81.25%;SaO2,HR,Hb三项指标的动态变化于急进高原后前3 d内变化幅度大,之后缓慢恢复,并于回平原后一周内基本恢复至原水平,其变化对于评价队员的缺氧状况和劳动能力有重要意义.结论 急性高原病威胁在海拔3000m以上高原地震地区救援人员身体健康并影响其战斗力;加强急进高原地区地震救援人员低氧防护研究十分必要.Objective As members of CNEDERT, we were trusted to take the mission of medical rescue in April of this year in Yushu area of Qinghai province. As soon as we heard of the news of earthquake with shock of 7.1 on Richter scale happened on 14th April 2010, our team of 32 members fi＇om the General Hospital of Armed Police Force rapidly rushed to get there at 19 o＇ clock on 14th April. It is a cold plateau with 4000 meters in average above sea level. Of course, they would face many difficult problems and some of them could not be figured out in advance. It was really a new and big challenge. First of all, we had to bear the very low barometric pressure, threatening lives of team members. In order to fulfill the mission of medical rescue, and to prevent the acute mountain sickness （AMS）, we monitored the physiological changes of every member. Method A total of 32 members aged from 27- 42 years old with average age of （33.26± 12.54） years, 6 male and 6 female, gathered at Peking, 50 meters abowe sea level, 6 hours ahead of getting to Yushu and received physical examination with measurements of SaO2, HR, Hb and breath holding test. The team worked in Yushu area for 13 days and returned back to Peking on 27th April at 13 o＇ clock. The measurements of SaO2, HR and He were kept on from 14th April to 4th May, 21 days in total. The occurrence of AMS was surveyed by questionnaire from 18 to 48 hours ＇after arrival, and the AMSA was diagnosed and scored according to the Lake Louise consensus on the definition and quantification of altitude illness. When the score was equal or abnve 3, it was considered to be AMS. Our work activities included searching the victims under the collapsed building, carrying out treatment and operation as soon as possible in the mobile hospital, doing medical round visiting, public health and disease prevention, work of joint rescue of multiple professions and psychological counseling. Results Of them 26 （81.25 % ） members suffered from AMS of various severities and few of them ha

关 键 词：中国国际救援队 地震救援 高原反应 血氧饱和度 心率 血红蛋白 

分 类 号：R594.3[医药卫生—内科学]