基础医学与临床 ›› 2011, Vol. 31 ›› Issue (4): 400-403.

• 研究论文 • 上一篇    下一篇

测定南极冰穹A考察预选队员北京西藏肺功能筛查低氧易感队员

黄付敏1,郭郑旻1,2,邱波2,3,祖淑玉1,朱广瑾4,徐成丽1   

  1. 1. 中国医学科学院 基础医学研究所 北京协和医学院 基础学院
    2.
    3. 北京协和医学院
    4. 中国医学科学院基础医学研究所 北京协和医学院基础学院
  • 收稿日期:2011-01-06 修回日期:2011-01-18 出版日期:2011-04-05 发布日期:2011-04-08
  • 通讯作者: 徐成丽 E-mail:xuchengli0425@sina.com
  • 基金资助:
    国际极地年中国行动计划项目;中国医学科学院基础医学研究所2009年度院所长基金

Applying pulmonary function parameter changes to screen hypoxia-susceptible expeditioners of the Antarctic Dome-A at Icecap

Fu-min HUANG1,Zheng-min GUO2,2,Bo QIU2,3,Shu-yu ZU2,Guang-jin ZHU1,Cheng-li XU1   

  1. 1. Institute of Basic Medical Sciences, CAMS & PUMC
    2.
    3. PUMC
  • Received:2011-01-06 Revised:2011-01-18 Online:2011-04-05 Published:2011-04-08
  • Contact: Cheng-li XU E-mail:xuchengli0425@sina.com

摘要: 目的 观察中国南极昆仑站预选队员肺功能随海拔增高的变化,分析其变化与急性高原反应之间的相关性,为选拔合格的考察队员提供参考。方法 采用Scope Rotary 便携式肺功能仪和焦虑(SAS)、抑郁(SDS)自评量表跟踪检测35名预选队员的肺功能和焦虑、抑郁得分,用急性高原反应(AMS)症状分度和评分问卷把队员分成有和无高原反应(AMS和Non-AMS)组。结果(1)潮气量(VT)和呼吸频率(BF)随着海拔的升高而升高(p<0.05),肺活量(VC)随着海拔的升高而降低(p<0.01);每分通气量(MV)、最大通气量(MVV)和一秒率(FEV1/FVC)随着海拔的升高而升高,用力呼气一秒量(FEV1)和用力呼气肺活量(FVC)随着海拔的升高而降低(p<0.05);最高呼气流速(PEF)、25%呼气流速(FEF25%)、50%呼气流速(FEF50%)和中段呼气流速(MMEF75/25%)随着海拔的升高而升高(p<0.05)。(2)在平原,AMS组VC、ERV、FVC、FEV1、FEF25%、FEF50%和MMEF75/25%比Non-AMS组低(p<0.05)。(3)AMS与SAS正相关(p<0.01),而与VC、FVC、FEV1、PEF、FEF25%、FEF50%、FEF75%和MMEF75/25%负相关(p<0.05)。结论 平原地区肺功能好的队员高原反应发生的可能性较小,推测平原地区肺功能的测定对筛查南极考察队员具有积极意义。

关键词: 南极冰穹 A, 急性高原反应, 肺功能

Abstract: Objective We observed the changes of pulmonary function parameters at different altitudes, so as to explore the correlation between AMS(Acute mountain sickness), mood, and pulmonary function. This data may help predict hypoxia susceptibility to select qualified expeditioners of Antarctic Dome-A at Icecap. Methods Pulmonary function, AMS, and moods were examined in 35 pre-selected healthy male Chinese members of the 25th and 26th expeditions to the Antarctic Kunlun station who were being screened for hypoxia susceptibility in Lhasa and Yangbajing. Statistical analysis was performed with SPSS 15.0. Results There was an increase in levels of tidal volume (VT), breathing frequency (BF), minute ventilation (MV), maximum voluntary ventilation (MVV), forced expiratory volume in one second per forced vital capacity (FEV/1FVC), peak expiratory flow (PEF), 25% expiratory flow (FEF25%), 50% expiratory flow (FEF50%), and mid-expiratory flow (MMEF75/25%)(p<0.05). There was a decrease in levels of vital capacity (VC), forced vital capacity (FVC), and forced expiratory volume in one second (FEV1) in Lhasa and Yangbajing(p<0.05). According to AMSW scoring, we divided the team members into two groups, the AMS group and non-AMS group, and compared baseline pulmonary function parameters between them. Non-AMS group members had better baseline lung function than AMS group members. Conclusion The participants with better pulmonary function and psychological stability experienced a milder degree of AMS. Acute mountain sickness was positively correlated with SAS and negatively correlated with VC, FVC, FEV1, FEF25%, FEF50%, FEF75%, and MMEF75/25%.

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