藏区高原环境对武警执勤官兵肾脏功能的影响  

Impact of plateau environment safeguarding Armed Police officers' and soldiers' kidney function

作　　者：刘辉[1] 李成[1] 耿瑞慧[2] 

机构地区：[1]武警总部机关门诊部保健科,北京100089 [2]武警8640部队医院内一科,定州073000

出　　处：《武警医学》2016年第4期376-378,共3页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的了解藏区高原环境对武警执勤官兵肾脏功能的影响,全面提升卫勤保障水平。方法选取90例驻于海拔高度约4300 m地区及100例驻于海拔高度约3200 m地区的来自平原地带(海拔高度约50 m)的武警某部执勤1年的男性官兵作为研究对象,分别于进藏前,进藏后6、12个月,以及撤离高原6个月时进行血尿素、肌酐、尿酸,以及尿微量白蛋白(urine micro-albumin,MALB)测定。应用SPSS 18.0统计软件进行数据处理。结果两组官兵的血尿素、肌酐、尿酸,以及MALB在进藏6、12个月时均高于进藏前(P<0.05),且12个月时[高、低海拔组MALB分别为(12.50±2.33)mg/L和(11.43±2.70)mg/L]明显高于6个月时[高、低海拔组MALB分别为(10.66±1.95)mg/L和(9.91±2.75)mg/L]水平(P<0.05);在进藏6、12个月时高海拔组各项指标与低海拔组相比,差异有统计学意义(P<0.05),高海拔组明显高于低海拔组(P<0.05);撤离6个月与进藏前比较,各个指标差异无统计学意义。结论随着海拔高度的升高,武警高原地区执勤部队官兵的血尿素、肌酐、尿酸及MALB水平增高。高原环境对武警执勤部队官兵的肾脏功能可产生较大影响;当脱离该环境后,其功能可逐渐改善。Objective We investigated the impact of Tibet plateau envirounment on Armed Police officer＇,and soldiers kidney function in order to provide fourther effective hygienic service. Methods 90 and 100 Armed Police officers and soldiers,who had come from the plain with an altitude of about 50 m and had arrived at about 4300 m and 3200 m altitude for 1 year,were recruited as our subjects. We examined their blood urea,creatinine,uric acid and urine micro-albumin 6 and 12 months after arrived in Tibet,and6 months after departure. Data were analyzed by SPSS 18. 0. Results The blood urea,creatinine,uric acid and urine micro-albumin at 6 and 12 months were all higher than those at arriving in Tibet and 6 months after departure（ P 〈0. 05）. The data of staying for12 months [urine micro-albumin in high and low altitude groups were（ 12. 50 ± 2. 33） mg / L and（ 11. 43 ± 2. 70） mg / L] were significantly higher than those of staying for 6 months[urine micro-albumin in high and low altitude groups were（ 10. 66 ± 1. 95） mg / L and（ 9. 91 ± 2. 75） mg/L]（ P〈 0. 05）,but there was no statistically significant difference between 6 months after departure and at arriving in Tibet. At staying for 6 and 12 months,the blood urea,creatinine,uric acid and urine micro-albumin in the two groups had significant difference（ P 〈0. 05）. The indexes in higer altitude groups were remarkably higher than those in lower altitude groups（ P 〈0. 05）,meanwhile,no significant differences were found between at arriving in Tibet and 6 months after departure. Conclusions With the elevation of altitude,the levels of Armed Police soldiers＇ blood urea,creatinine,uric acid and urine micro-albumin were raising.The plateau had deeply impact on kidney function of Armed Police Soldiers in the plateau area and the function of the soldiers could improved step by step after breaking away from the surroundings.

关 键 词：武警官兵 高原 肾脏功能 执勤 

分 类 号：R825[医药卫生—临床医学]