康复疗养对高原官兵脱习服症状改善作用的研究
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摘要
目的研究不同康复疗养措施对高原官兵脱习服症状的改善作用。方法将31名高原官兵分为常规疗养组和常规疗养+高压氧疗组,分别于疗养1 d、15 d及30 d时记录高原脱习服症状并对其评分进行比较。结果疗养15 d常规疗养+高压氧疗组的高原脱习服症状评分与常规疗养组比较差异有统计学意义(P<0.05)。疗养15 d、30 d后两组海拔4 000 m、5 000 m官兵、守防6个月、12个月官兵较入院脱习服症状明显减轻(P<0.05),疗养30 d较疗养15 d症状变化显著(P<0.01)。结论定期组织下高原官兵到疗养院进行高原脱习服,疗养期间配合高压氧疗法对提高官兵适应平原生活,提高疗养效果有很好的作用。
Objective To study the improving effects of different rehabilitation and recuperation measures on deacclimatization symptoms of plateau officers and soldiers. Methods 31 plateau officers and soldiers were divided into two groups of normal recuperation group and hyperbaric oxygen therapy group(normal recuperation+hyperbaric oxygen therapy),whose deacclimatization symptoms on the 1st day,15 th day and 30 th day were recorded and the scores were compared. Results On the 15 th day,the plateau deacclimatization symptom scores of the hyperbaric oxygen therapy group showed differences of statistical significance compared with the normal recuperation group( P <0.05).Deacclimatization symptoms in both groups were significantly relieved on the 15 th and 30 th day among the plateau officers and soldiers from the altitude of 4 000 m and 5 000 m with 6 months and 12 months of defense( P <0.05),and the effects of the 30 th day were better than the 15 th day( P <0.01).Conclusion Plateau officers and soldiers should be admitted to sanatorium regularly for plateau deacclimatization,and hyperbaric oxygen therapy during convalescence can increase their adjustment to life on the plain,and enhance the recuperation effects.
Objective To study the improving effects of different rehabilitation and recuperation measures on deacclimatization symptoms of plateau officers and soldiers. Methods 31 plateau officers and soldiers were divided into two groups of normal recuperation group and hyperbaric oxygen therapy group(normal recuperation+hyperbaric oxygen therapy),whose deacclimatization symptoms on the 1st day,15 th day and 30 th day were recorded and the scores were compared. Results On the 15 th day,the plateau deacclimatization symptom scores of the hyperbaric oxygen therapy group showed differences of statistical significance compared with the normal recuperation group( P <0.05).Deacclimatization symptoms in both groups were significantly relieved on the 15 th and 30 th day among the plateau officers and soldiers from the altitude of 4 000 m and 5 000 m with 6 months and 12 months of defense( P <0.05),and the effects of the 30 th day were better than the 15 th day( P <0.01).Conclusion Plateau officers and soldiers should be admitted to sanatorium regularly for plateau deacclimatization,and hyperbaric oxygen therapy during convalescence can increase their adjustment to life on the plain,and enhance the recuperation effects.
引文
[1]崔建华.高原医学基础与临床[M].北京:人民军医出版社,2012:213-215.
[2]汪海.高原部队卫勤保障手册[M].北京:军事医学科学出版社,2010,143-149.
[3]范勇,周其全.高原脱适应研究进展[J].解放军预防医学杂志,2012,30(3):227-230.
[4]韩国玲.高原低氧对人体+认知功能影响的研究[J].高原医学杂志,2009,19(4):15.
[5]高春锦,杨捷云,翟晓辉.高压氧医学基础与临床[M].北京:人民卫生出版社,2008:105-109.
[6]阳盛洪,王银虎,杨海军,等.高压氧治疗海拔5 000米以上地区移居人群脱习服的临床疗效观察[J].西北国防医学杂志,2013,34(3):205-207.
[7]张华耀,张彦雪,杨哲新,等.习服高原与脱习服[J].中国应用生理学杂志,2012,28(1):94-96.
[8]石自福,周其全,马三,等.某部抗震救灾官兵脱适应情况调查[J].解放军预防医学杂志,2011,29(2):114-115.
[9]徐莉,胡文东,蒋学义,等.疗养保障措施对驻高原官兵心理调节影响的研究[J].中国疗养医学,2012,21(12):1057-1059.
[10]周其全,杨生岳,袁振才,等.高原移居人群返回平原后高原脱适应症的诊断标准:多中心随机对照研究[J].解放军医学杂志,2012,37(2):146-153.
[11]范勇,周其全.高原脱适应研究进展[J].解放军预防医学杂志,2012,30(3):227-230.
[12]陈景藻.疗养学[M].西安:第四军医大学出版社,2004:28-35.
[2]汪海.高原部队卫勤保障手册[M].北京:军事医学科学出版社,2010,143-149.
[3]范勇,周其全.高原脱适应研究进展[J].解放军预防医学杂志,2012,30(3):227-230.
[4]韩国玲.高原低氧对人体+认知功能影响的研究[J].高原医学杂志,2009,19(4):15.
[5]高春锦,杨捷云,翟晓辉.高压氧医学基础与临床[M].北京:人民卫生出版社,2008:105-109.
[6]阳盛洪,王银虎,杨海军,等.高压氧治疗海拔5 000米以上地区移居人群脱习服的临床疗效观察[J].西北国防医学杂志,2013,34(3):205-207.
[7]张华耀,张彦雪,杨哲新,等.习服高原与脱习服[J].中国应用生理学杂志,2012,28(1):94-96.
[8]石自福,周其全,马三,等.某部抗震救灾官兵脱适应情况调查[J].解放军预防医学杂志,2011,29(2):114-115.
[9]徐莉,胡文东,蒋学义,等.疗养保障措施对驻高原官兵心理调节影响的研究[J].中国疗养医学,2012,21(12):1057-1059.
[10]周其全,杨生岳,袁振才,等.高原移居人群返回平原后高原脱适应症的诊断标准:多中心随机对照研究[J].解放军医学杂志,2012,37(2):146-153.
[11]范勇,周其全.高原脱适应研究进展[J].解放军预防医学杂志,2012,30(3):227-230.
[12]陈景藻.疗养学[M].西安:第四军医大学出版社,2004:28-35.