亚高原地区开展综合康复疗养对减轻移居者高原环境损害的研究  

Study on the effect of comprehensive convalescence on alleviating the environmental damage of officers and soldiers in the sub-plateau region

作　　者：余志平 汪雁 金源 黄佳琦 赵鑫 杨枝叶 潘志强 Yu Zhiping;Wang Yan;Jin Yuan;Huang Jiaqi;Zhao Xin;Yang Zhiye;Pan Zhiqiang

机构地区：[1]陆军昆明特勤疗养中心,679100

出　　处：《中国疗养医学》2022年第5期460-465,共6页Chinese Journal of Convalescent Medicine

基　　金：全军保健专项科研项目(20BJZ01)。

摘　　要：目的通过对移居高原(海拔≥2500 m)者在亚高原地区(海拔1600 m)开展综合康复疗养,观察研究其对移居者高原病、高原相关疾病、脱习服症及健康状况的改善效果。方法对到亚高原地区疗养机构进行疗养的移居高原人员进行全面体检,调查脱适应症、慢性高原病(CMS),筛查创伤后应激障碍、抑郁、焦虑、睡眠等反映心理状况的指标,综合评估后做出准确、全面的健康鉴定。根据健康鉴定结果进行疗养分级并制定个性化疗养方案实施综合康复疗养,疗养结束时全面评估康复疗养效果。结果疗养30 d后13项脱习服症状明显改善(P<0.05),有脱习服反应者症状计分从(9.15±2.59)分下降到(6.20±0.40)分,差异有统计学意义(P<0.05)。疗养后CMS症状明显改善,患病率从22.50%降至4.22%,且各项症状评分变化差异均有统计学意义(P<0.05);CMS患者疗养前后红细胞相关指标变化差异均有统计学意义(P<0.05)。疗养前后阿森斯失眠量表(AIS)得分从(12.96±3.08)分降至(8.62±1.79)分,血尿酸从(495.93±64.22)μmol/L降至(441.86±71.02)μmol/L,三酰甘油从(2.79±0.86)mmol/L降至(2.21±1.4)mmol/L,总胆固醇从(5.91±0.62)mmol/L降至(5.06±1.49)mmol/L,差异均有统计学意义(P<0.05);另外,疗养前后胆红素、丙氨酸氨基转氨酶变化差异也有统计学意义(P<0.05)。结论在亚高原地区进行1个月的综合康复疗养,对移居高原返回人员的脱适应症、慢性高原病、睡眠障碍、高原代谢紊乱、高原肝功能损伤均有良好的康复效果,对高原移居人员的身心健康具有积极作用。Objective To observe and study the improvement effects on plateau diseases,plateau related diseases,acclimatization withdrawal and health status of the immigrants by carrying out comprehensive convalescence in the sub-plateau area(1600 m above sea level)for those who migrated to the plateau(altitude≥2500 m).Methods A comprehensive physical examination was conducted for the migrants who went to the sanatorium in sub-plateau areas to investigate disadaptation and chronic altitude sickness,screen for post-traumatic stress disorder,depression,anxiety,sleep and other indicators of psychological status,and make accurate and comprehensive health appraisal after comprehensive evaluation.According to the results of health appraisal,the convalescence was graded and individualized convalescence plan was formulated to implement comprehensive convalescence.At the end of convalescence,the effect of convalescence was comprehensively evaluated.Results After 30 days of convalescence,13 acclimatization withdrawal symptoms were significantly improved(P<0.05),and the symptom score of patients with acclimatization withdrawal decreased from(9.15±2.59)points to(6.20±0.40)points,the difference was statistically significant(P<0.05).After convalescence,the symptoms of chronic mountain sickness(CMS)were significantly improved,and the prevalence rate decreased from 22.50%to 4.22%,and the differences of symptom scores were statistically significant(P<0.05).There were statistically significant differences in erythro-cyte related indexes of CMS patients before and after convalescence(P<0.05).The AIS score decreased from(12.96±3.08)to(8.62±1.79),and the serum uric acid decreased from(495.93±64.22)μmol/L to(441.86±71.02)μmol/L before and after treatment.Triacylglycerol decreased from(2.79±0.86)mmol/L to(2.21±1.4)mmol/L,total cholesterol decreased from(5.91±0.62)mmol/L to(5.06±1.49)mmol/L,and the differences were statistically significant(P<0.05).In addition,there was statistical significance in bilirubin and alanine aminotransferas

关 键 词：康复疗养 高原脱习服症 慢性高原病 高原代谢紊乱 

分 类 号：R594.3[医药卫生—内科学] R493[医药卫生—临床医学]