CAJ | 학술논문

目的研究高原环境对飞行员身心健康状态的影响及脱习服产生的主要医学问题.方法高原驻训3个月返回平原后第4天,对19名飞行员进行高原驻训后脱习服反应问卷调查;高原驻训1个月和返回平原后1周分别对11名飞行员进行影像学检查;高原驻训3个月返回平原后第2天,对6名飞行员的生化指标进行检测. 结果 19名飞行员均出现了不同程度的脱习服反应,其中84.2％的人认为高原脱习服对工作、生活产生一定的影响.与驻训1个月比较,返回平原后1周11名飞行员肝左叶上下径减小(t＝3.211,P＜0.05).与驻训1个月比较,返回平原后1周,V5导联R波与V1导联S波之和明显减低(t＝2.422,P＜0.05).返回平原后1周,飞行员收缩期肺动脉瓣射血达最高所需时间较在高原时明显增加(t＝3.854,P＜0.05).高原驻训3个月,6名飞行员的红细胞、血红蛋白、尿酸、总胆红素、甘油三酯、胱抑素L1、补体C4和白介素-10明显高于参考值(t＝2.601～7.537,P＜0.05),免疫球蛋白A、转化生长因子β明显低于参考值(t＝2.731、16.824,P＜0.05). 结论影像学、心电图和生化检查均证实高原环境对飞行员产生影响.建议进入高原前对飞行员采取相应的防护措施,返回平原后实施有效的医疗康复工作.
목적 연구고원배경대비행원신심건강상태적영향급탈습복산생적주요의학문제.방법 고원주훈3개월반회평원후제4천,대19명비행원진행고원주훈후탈습복반응문권조사;고원주훈1개월화반회평원후1주분별대11명비행원진행영상학검사;고원주훈3개월반회평원후제2천,대6명비행원적생화지표진행검측. 결과 19명비행원균출현료불동정도적탈습복반응,기중84.2％적인인위고원탈습복대공작、생활산생일정적영향.여주훈1개월비교,반회평원후1주11명비행원간좌협상하경감소(t＝3.211,P＜0.05).여주훈1개월비교,반회평원후1주,V5도련R파여V1도련S파지화명현감저(t＝2.422,P＜0.05).반회평원후1주,비행원수축기폐동맥판사혈체최고소수시간교재고원시명현증가(t＝3.854,P＜0.05).고원주훈3개월,6명비행원적홍세포、혈홍단백、뇨산、총담홍소、감유삼지、광억소L1、보체C4화백개소-10명현고우삼고치(t＝2.601～7.537,P＜0.05),면역구단백A、전화생장인자β명현저우삼고치(t＝2.731、16.824,P＜0.05). 결론 영상학、심전도화생화검사균증실고원배경대비행원산생영향.건의진입고원전대비행원채취상응적방호조시,반회평원후실시유효적의료강복공작.
Objective To study the influences of plateau environment on pilots' physical and mental health and the major medical problems generated in deacclimatization.Methods Nineteen pilots were selected to answer the questionnaires on the subject of deacclimatization on the 4th day after their 3-month plateau stationing.Eleven pilots were detected by radiology in 2 phases:one-month plateau stationing and one week after plateau stationing.On the 2nd day after 3-month plateau stationing,6 pilots' biochemical indicators were tested.Results Nineteen pilots showed various degrees of symptoms in deacclimatization and 84.2 ％ of them complained that the symptoms in deacclimatization affected their life and normal work as they were off plateau.As compared with the values in 1-month stationing,11 pilots' upper and lower diameter of the left hepatic lobe reduced when they returned plain for a week 0＝3.211,P＜0.05).As compared with that in 1-month stationing,their algebraic sum of V5 lead R wave amplitude and V1 lead S wave amplitude significantly reduced after 1 week off the stationing (t＝ 2.422,P＜0.05).Compared with that in plateau station,the pilots' systolic acceleration time was significantly increased when they return to plain for 1 week (t＝3.854,P＜0.05).Six pilots' red blood cell,hemoglobin,uric acid,total bilirubin,triglyceride,cystatin C,complement C4 and interleukin-10 significantly increased (t ＝ 2.601-7.537,P＜0.05).Pilots' immunoglobulin A and transforming growth factor β were significantly lower than the normal values (t＝2.731,16.824,P＜0.05) when they stationed on Plateau for 3 months.Conclusions Imaging,electrocardiography and biochemical tests verified that plateau environment would influence the pilots' physical status.It is suggested to take protective measures for pilots before entering plateau and to carry out the effective medical rehabilitation after returning plain.