成都军区防制急性高原病的效果分析

Analysis on Effect of Prevention and Control for Acute Mountain Sickness in Military Area of Chengdu

目的总结成都军区急性高原病(AMS)预防和控制工作取得的成就,探讨进一步提高高原部队防制AMS的有效措施。方法收集20余年来成都军区空运进驻西藏高原新兵AMS的发病资料,分析AMS发病与防制措施的关系。结果进藏新兵的AMS发病率从1987年的48.45%,下降到2009年的2.6%,且没有死亡病例发生;AMS住院率从1993年的2.18%下降到2009年的0.10%。采取的主要防制措施是:对AMS的防制工作进行科学化、规范化、制度化,降低或防止发病诱因,降低机体的需氧量,促进机体对低氧环境的代偿调节过程。结论防病措施落实到位,能够极大程度地减少AMS对部队的威胁,而规范化的卫生学管理制度比预防药物更有效。

Objective To summarize the achievements in prevention of acute mountain sickness（AMS） in Chengdu Military Area and to discuss the effective measures to prevent AMS for army in plateau section.Methods The data of AMS morbidity of recruits in the military Area who were transported to plateau section（above sea level 3680 m） by airplanes from plain area since 1987 were collected.The relationship between the incidence of AMS and preventive measures was investigated.Results The incidence of AMS of the recruits decreased greatly from 48.45% in 1987 to about 3% and no dead case occurred in recent years in plateau section.The hospitalization rate of AMS recruits also decreased remarkably from 2.0% in 1993 to 0.1% in 2009.The main measures included reinforcement of AMS preventive measures and popularization the knowledge among all officer and soldiers by means of rules,standardization and management system to eliminate causative factors of AMS.Conclusion The correct and feasible medical service measures can greatly decrease AMS incidence in army and the obligatory hygienic management system is more effective than preventive drug in prevention of AMS in army.