官兵高原演习脱适应反应的调查分析

Investigation and analysis on de-adaptation reaction of officers and soldiers after plateau exercise

目的调查官兵高原演习后脱适应反应的发生情况,为科学防治脱适应反应提供理论依据。方法对在拉萨某训练基地(4400 m)驻训3个月的官兵(1066名符合纳入标准)进行回顾性问卷调查,统计分析脱适应反应的发生情况,对重度反应以上脱适应症患者进行积极治疗及追踪随访。结果 1周时脱适应反应发生率为100%,高原脱适应症比例为64.4%。高原脱适应反应评分及高原脱适应症比例在1个月(P=0.012)和2个月(P=0.009)时均较1周时显著减低。多数脱适应症患者经休息可恢复正常,需住院治疗者29人次,占2.7%。结论应高度重视高原脱适应症的研究,提倡预防在先,必要时采取住院输液或高压氧等治疗措施。

Objective To investigate the incidence of de-adaptation reaction and syndrome after exposure to high altitudes and to provide theoretical basis for scientific prevention of the disease. Methods Officers and soldiers who visited a plateau（4400 m） in Lhasa for 3 months and then returned to low-altitude（1066 were accordant with the inclusion criteria）were evaluated for plateau de-adaptation reaction. All patients with serious syndrome were followed up. Results The incidence of plateau de-adaptation reaction and syndrome were 100% and 64.4%respectively at the first week. The symptom scores and the incidence of symptoms had decreased markedly at the first（P=0.012）and second months（P=0.009）, compared with the first week. Most people could return to be normal by resting and 29 subjects（2.7%） had been hospitalized. Conclusions More attention should be paid to the research of de-adaptation syndrome and preventive measures should be taken. The subjects with serious syndrome must to be treated in the hospital when necessary.