驻守高原不同时间官兵的血常规比较研究

Comparison of blood routine indexes of troops on the plateau at different time points

目的观察高原某部驻守不同时间的驻训官兵血常规各指标的差异,为维护保障高原驻训官兵健康提供科学依据。方法对153名进驻海拔4200~4500 m高原驻训1、2、5年的官兵进行血常规检测并进行统计学分析。结果与驻训1年组相比,驻训2年组全血白细胞总数(WBC)、中性粒细胞总数(NEUT)、淋巴细胞比率(LYM%)、中间细胞比率(MID%)、中性粒细胞比率(NEUT%)、红细胞总数(RBC)、血红蛋白(HGB)、红细胞压积(HCT%)、血小板分布宽度(PDW)变化显著,同时NEUT%、RBC、HGB、HCT%、血小板压积(PCT%)的异常发生率变化显著;与驻训2年组相比,驻训5年组全血WBC、淋巴细胞总数(LYM)、中间细胞总数(MID)、NEUT、LYM%、MID%、NEUT%、RBC、HGB、HCT%、平均血红蛋白浓度(MCHC)、血小板平均体积(MPV)、PDW、大血小板总数(PLCC)、大血小板比率(P-LCR)变化显著,同时NEUT%、RBC、HGB、HCT%的异常发生率变化显著。结论高原环境下不同驻训时间官兵的血常规指标发生明显改变,应根据不同驻守时间对高原驻训人员实施有针对性的高原卫勤保障措施。

Objective To observe the difference in blood routine indexes of troops garrisoned on the plateau for different lengths of time in order to provide data for maintaining and ensuring the health of these soldiers.Methods A total of 153 soldiers stationed at an altitude of 4200-4500 m above sea level for 1,2 and 5 years had their blood routine indexes tested and the results were statistically analyzed.Results Compared with the 1-year service group,the white blood cell count(WBC),neutrophil count(NEUT),lymphocyte ratio(LYM%),intermediate cell ratio(MID%),neutrophil ratio(NEUT%),red blood cell count(RBC),hemoglobin(HGB),hematocrit(HCT%) and platelet distribution width(PDW) in the 2-year service group changed significantly.At the same time,the abnormal rates of NEUT %,RBC,HGB,HCT% and platelet volume(PCT%)in the 2-year service group were significantly different from those in the 1-year garrison group.Compared with the 2-year service group,the whole blood WBC,the lymphocyte count(LYM),the total number of intermediate cells(MID),NEUT,LYM%,MID%,NEUT%,RBC,HGB,HCT%,mean corpuscular hemoglobin concentration(MCHC),mean platelet volume(MPV),PDW,large platelet count and large platelet ratio(P-LCR) in the 5-year garrison group changed significantly.At the same time,the abnormal rates of NEUT%,and the RBC,HGB and HCT% were significantly different from those in the 2-year garrison group.Conclusion Under the plateau environment,the blood routine indexes of soldiers at different time points have changed obviously,and high-altitude health service support measures should be implemented according to the length of service on the plateau.