阶梯法与非阶梯法进入海拔4500m高原AHAD发病率调查  

Investigation of incidence of AHAD of people into 4500 m plateau by ladder method and non-ladder method

作　　者：黄学文[1] 李素芝[1] 谢晓娥[1] 黄跃[1] 闫春城[1] 殷作明[1] 黄雪琴[1] 吴亮[1] 杨振翰 

机构地区：[1]西藏军区总医院全军高山病中心,拉萨850007

出　　处：《西南国防医药》2015年第2期230-231,共2页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的观察阶梯法、非阶梯法进入特高海拔高原急性高原病（AHAD）发病率。方法经体检健康的内地人员6521名,分为阶梯法进入组（4352名）和非阶梯法进入组（2169名）;阶梯法进入组：先乘飞机到达拉萨（海拔3650 m）,休息3～4 d后再乘汽车到达海拔4500 m地区;非阶梯法进入组：乘飞机到拉萨后,当天乘汽车进入海拔4500 m地区。统计两组人员于进入高原后1～14 d内AHAD发病率。结果阶梯法进入组AHAD发病率为15.88%（691/4352）,非阶梯法进入组发病率为74.96%（1626/2169）,组间比较有非常显著性差异（P〈0.01）。结论阶梯法可以显著减低进入特高海拔高原AHAD发病率。Objective To investigate the incidence of acute high altitude disease （AHAD） of people into 4500 m plateau by ladder method and non-ladder method. Methods Total 6521 healthy people to enter Tibet from the plain were divided into the ladder group （ n = 4352 ） and non-ladder group （ n = 2169 ）. After arriving in Lhasa （ 3650 m above sea level ） by plane, the ladder group had a 3- 4 d rest and reached an area（4500 m above sea level）by ear;after arriving in Lhasa by plane,the non-ladder group did not had a rest but reaehed to the area（4500 m above sea level）by car on the same day. The statistics of incidence of AHAD of both groups within 1- 14 days after they arrived in the high altitude was made. Results The incidence of AHAD in the ladder group was 15.88% （691/4352） ,while that in the non-ladder group was 74.96% （1626/2169）. There was a significant difference between the two groups （P 〈 0.01 ）. Conclusion The ladder method can significantly reduce the incidence of AHAD.

关 键 词：高原 阶梯法 急性高原病 

分 类 号：R594.3[医药卫生—内科学]