CAJ | 학술논문

目的了解急进高原施工人群急性高原病（AMS）的发病情况。方法回顾性分析各级医疗站的病员登记情况，了解施工人员进入高原后AMS的发病情况。结果 AMS总的发病率为16．93％；急性高原反应的发病率为16．19％；重度高原病发病率为0．73％。随着海拔高度的增高A M S发病率呈明显上升趋势，特别是海拔4000 m以上发病率升高明显。施工人员的年龄越大，AMS发病率越高。结论急进高原施工人员进入高原后立即投入施工，承担的劳动量较大，AMS发病率较高；且随海拔升高、年龄增大呈逐渐升高的趋势。应进一步加强预防措施，降低AMS的发病率，有效保障施工人员的身体健康。
목적료해급진고원시공인군급성고원병（AMS）적발병정황。방법회고성분석각급의료참적병원등기정황，료해시공인원진입고원후AMS적발병정황。결과 AMS총적발병솔위16．93％；급성고원반응적발병솔위16．19％；중도고원병발병솔위0．73％。수착해발고도적증고A M S발병솔정명현상승추세，특별시해발4000 m이상발병솔승고명현。시공인원적년령월대，AMS발병솔월고。결론급진고원시공인원진입고원후립즉투입시공，승담적노동량교대，AMS발병솔교고；차수해발승고、년령증대정축점승고적추세。응진일보가강예방조시，강저AMS적발병솔，유효보장시공인원적신체건강。
Objective To understand the incidence of acute mountain sickness (AMS ) of the construction workers entering plateaus newly .Methods Retrospective analysis of medical station patient registration ,understand-ing of the pathogenesis of AMS about the construction workers after entering plateaus .Results The total incidence of AMS was 16 .93% ;The incidence of the acute high altitude reaction was 16 .19% ;The incidence of the severe AMS was 0 .73% ;With the altitude rising ,it was obvious that the incidence of AMS showed an upward trend ,espe-cially at an altitude of above 4 ,000 meters ;The age of construction workers was greater ,the higher the incidence of AMS .Conclusion On getting into the plateau newly ,the construction workers start constructing immediately and undertake a larger amount of labor ,so the incidence of AMS tends to be higher .What′s worse ,the trend is gradually upwards with the increasing altitude and age .Thus ,it is necessary to strengthen the preventive measures and lower the AMS outbreak rate ,in order to guarantee the workers′health effectively .