急性高原病症状评分与平原体能、高原睡眠状况的相关性探讨-现代医学

急性高原病症状评分与平原体能、高原睡眠状况的相关性探讨

单位：中国人民解放军第十八医院高山病研究所, 新疆叶城 844900

分类号：R594.3

出版年·卷·期（页码）：2018·46·第一期（19-22）

摘要：

目的：探讨急性高原病（AMS）与平原体能及高原睡眠状况的关系。方法：检测161名男性青年在进入高原前静息状态下及俯卧撑、仰卧起坐及100 m、3 km跑后的心率和血氧饱和度，并记录俯卧撑和仰卧起坐，100 m、3 km跑的成绩，依据考核标准分为合格组与不合格组。进入高原后连续7 d调查这些青年的AMS症状评分和匹兹堡睡眠质量指数。结果：平原3 km跑后AMS症状评分合格组低于不合格组，差异有统计学意义（P<0.05）。进入高原后第1~2天的AMS症状评分与3 km跑后的心率变化值（△HR）及成绩相关（P<0.05）；进入高原第2~4天AMS症状评分与睡眠质量相关（P<0.05）。结论：平原3 km跑成绩及心率与高原暴露初期AMS的程度相关。平原适应性体能训练可以增强心肺功能，进入高原后改善睡眠质量能减轻急性高原病症状。

Objective:To investigate the relationship between acute mountain sickness and physical efficiency in plain and sleep in altitude. Methods:Before immigrate to high altitude,the heart rate, saturation of blood oxygen of resting state, push up, sit up and after 100 m-race and 3 km-race were detected among the 163 male youth.According to the detection results they were divided into qualification groups and disqualification group. The acute mountain sickness symptom score and Pittsburgh sleep quality index were investigated for 7 days consecutively when they exposed to altitude. Results:Acute mountain sickness symptom scores of the qualification groups after 3 km-race were lower than those of disqualification groups(P<0.05). Acute mountain sickness symptom scores of exposed to altitude for the first 2 days were correlated to the variate of heart rate(△HR) and result of 3 km-race(P<0.05);Acute mountain sickness symptom scores of exposure to altitude for the 2-4 days were correlated to the sleep quality(P<0.05). Conclusions:The symptom severity of acute mountain sickness at altitude in the early days are correlated to heart rate and the result of 3 km-race in plain.Adaptability training in plain can improve cardiopulmonary function.After arriving altitude, improving he sleep quality can relieve the symptom of acute mountain sickness.

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