高原官兵特勤疗养对血液流变学影响的研究
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摘要
目的研究特勤疗养对高原官兵血液流变学调节的影响。方法将刚下4 000 m以上高原赴疗养院的26名官兵分为疗养+高压氧疗组、物理治疗组和常规疗养组,分别于入院1 d、入院30 d时检测血液流变学并对其评分进行统计分析。结果入院30 d时的高切、中切、低切全血黏度,红细胞等指,全血高切、中切、低切还原黏度和刚性指数上,较入院1 d有调节作用,尤其疗养+高压氧疗组差异有高度统计学意义(P<0.01);入院30 d守防6个月官兵较守防12个月有明显降低趋势,海拔4 000 m较5 000 m官兵血液黏度有明显降低趋势。结论刚下高原官兵通过1个月特勤疗养,血液黏度有不同程度降低,对改善高原官兵的身体素质和健康水平有很好的促进作用,今后要定期组织高原官兵下山后的疗养保障。
Objective To study the influence of special service recuperation on hemorheology among plateau-stationed officers and soldiers. Methods 26 officers and soldiers coming down from the plateau over 4 000 meters to Lintong Sanatorium were divided into recuperation plus hyperbaric oxygen therapy group,physiotherapy group and conventional recuperation group,and hemorheology was measured respectively at admission and 30 days after recuperation,and the scores were conducted for statistical analysis. Results After 30 days of recuperation,the indexes showed regulating effects compared with those on the first day of admission in terms of whole blood viscosity and red blood cell with high shear,middle shear,and low shear,and in terms of whole blood reductive viscosity and rigidity with high shear,middle shear,and low shear.The recuperation plus hyperbaric oxygen therapy group particularly showed difference of statistical significance( P <0.01).After 30 days of recuperation,the officers and soldiers with 6 months of defense showed clear decreasing tendency compared with those of 12 months of defense,and the blood viscosity showed clear decreasing tendency among officers and soldiers from the altitude of 4 000 m compared with those from the altitude of 5 000 m. Conclusion After one month of special service recuperation,the officers and soldiers just coming down from the plateau showed different degrees of blood viscosity decrease,which has good promotion function on physical quality and health level of the plateau-stationed officers and soldiers,so regular recuperation should be organized for them after their coming down from the plateau.
Objective To study the influence of special service recuperation on hemorheology among plateau-stationed officers and soldiers. Methods 26 officers and soldiers coming down from the plateau over 4 000 meters to Lintong Sanatorium were divided into recuperation plus hyperbaric oxygen therapy group,physiotherapy group and conventional recuperation group,and hemorheology was measured respectively at admission and 30 days after recuperation,and the scores were conducted for statistical analysis. Results After 30 days of recuperation,the indexes showed regulating effects compared with those on the first day of admission in terms of whole blood viscosity and red blood cell with high shear,middle shear,and low shear,and in terms of whole blood reductive viscosity and rigidity with high shear,middle shear,and low shear.The recuperation plus hyperbaric oxygen therapy group particularly showed difference of statistical significance( P <0.01).After 30 days of recuperation,the officers and soldiers with 6 months of defense showed clear decreasing tendency compared with those of 12 months of defense,and the blood viscosity showed clear decreasing tendency among officers and soldiers from the altitude of 4 000 m compared with those from the altitude of 5 000 m. Conclusion After one month of special service recuperation,the officers and soldiers just coming down from the plateau showed different degrees of blood viscosity decrease,which has good promotion function on physical quality and health level of the plateau-stationed officers and soldiers,so regular recuperation should be organized for them after their coming down from the plateau.
引文
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[13]徐莉,郭广会,张斌.临潼疗养区自然疗养因子的调查研究[J].中国疗养医学,2009,18(8):865-869.
[14]徐莉,王绍林,张建祥.临潼矿泉水质分析及医疗作用的研究概况[J].中国疗养医学,2012,21(2):97-100.
[2]黄文超.高原红细胞增多与高血黏度发生的相关分析[J].西南军医,2010,12(6):1047-1048.
[3]崔建华,高亮.高压氧对急进高原和高原人体运动血液流变学的影响[J].中国血液流变学杂志,2007,17(3):421-424.
[4]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.
[5]阳盛洪,王引虎,王福领.高压氧治疗对高海拔地区脱习服官兵脑体工效影响的观察[J].人民军医,2013,56(10):1137-1138.
[6]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,2008:50-60.
[7]崔建华.高原医学基础与临床[M].北京:人民军医出版社,2012:62-68.
[8]石寿森,张风进.不同行为类型青光眼患者手术前后焦虑情绪与血液流变的变化[J].中国行为医学科学,1998,7(17):50.
[9]袁振才.高原移居者返平原后血液学变化观察[J].环境与健康杂志,2009(6):522-524.
[10]孟思进,李连群.运动影响血液流变性的机制[J].解剖科学进展,1998,4(1):37.
[11]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.
[12]陈景藻.疗养学[M].西安:第四军医大学出版社,2004:28-35.
[13]徐莉,郭广会,张斌.临潼疗养区自然疗养因子的调查研究[J].中国疗养医学,2009,18(8):865-869.
[14]徐莉,王绍林,张建祥.临潼矿泉水质分析及医疗作用的研究概况[J].中国疗养医学,2012,21(2):97-100.