驻喀喇昆仑山和西藏阿里高原部队慢性高原病流行病学调查

Chronic Mountain Epidemiological Sickness Investigation of Army in Kunlun Mountain and Tibet Ali

目的调查驻喀喇昆仑山和西藏阿里高原部队慢性高原病(CMS)患病情况。方法采用国际CMS诊断记分系统进行CMS流行病学调查。结果驻喀喇昆仑山海拔4 300,5 100和5 380 m 1年的某部队CMS的患病率依次为37.0%,67.9%和92.9%;驻西藏阿里高原海拔4 300 m某部军官和士官的CMS患病率为38.3%,义务兵为20.7%,13名藏族官兵未发现CMS患者。总患病人数中,轻度CMS占85.5%,中度占13.0%,重度占1.5%。结论随海拔升高,CMS患病率增高,军官和士官较义务兵患病率高。国际CMS诊断标准是否适用于长期在高原执行特殊任务的移居人群值得商榷。

Objective To investigate Chronic Mountain Sickness （CMS） of army in Kala Kunlun Mountain and Tibet Ali. Methods We did epidemiological investigation used international CMS diagnostic standard. Results The CMS prevalence of army stayed at 4300 m, 5100m and 5380m for 1 year in Kala Kunlun mountain was 37.0% ,67.9% and 92.9% ;The CMS suffering rate of officel and petty officer in Tibet Ali （4300 m） was 38.3% , 20.7% in soldiers and no CMS sufferer in 13 Tibetan servicemen： In all suffens, 85.5 % was mild, 13.0% was moderate and 1.5 % was severe. Conclusion Conclusion CMS suffering rate was increased as altitude was increase, suffering rate in officer and petty officer was higher than soldier. We should consider if international CMS diagnostic criteria suit immigrants execute special task at high altitude for a long time.