CAJ | 학술논문

目的探讨南极考察队员在不同高原环境下血氧饱和度、心率变化与高原反应风险的关系.方法 2010年8月至2011年4月采用无创性氧饱和度测定仪监测(MD300-C) 16名南极考察队员在不同海拔情况以及不同高原环境(西藏高原和南极高原)下的血氧饱和度和心率变化以及高原反应情况,根据Lake Louise Consensus急性高原反应症状评分和判定方法,判定急性高原反应的程度.结果 16名考察队员在我国海拔110、3650、4300 m时血氧饱和度、心率情况差异均有统计学意义[96.8％±1.2％、89.1％±1.2％、86.1％±2.0％,(75.0±5.4)次/min、(104.0±4.3)次/min、(113.0±5.2)次/min,F=214.155、240.088,均P＜0.05].南极高原环境下不同海拔(2000、2500、3000、3500、4087 m)血氧饱和度、心率差异也均有统计学意义[91.9％±1.3％、90.5％±1.3％、87.6％±1.4％、85.0％±1.8％、81.5％±2.2％,(85.9±3.2)次/min、(90.6±2.8)次/min、(97.8±4.1)次/min、(102.0±3.4)次/min、(106.3±3.9)次/min,F=105.418、90.174,均P＜0.05].在南极高原环境下氧饱和度、心率与Lake Louise Consensus急性高原病症状评分相关(r=-0.446、0.565,均P＜0.05).结论南极考察队员在西藏高原和南极高原不同海拔下血氧饱和度、心率有明显的变化,且随着海拔的升高,高原反应风险逐渐增加.
목적 탐토남겁고찰대원재불동고원배경하혈양포화도、심솔변화여고원반응풍험적관계.방법 2010년8월지2011년4월채용무창성양포화도측정의감측(MD300-C) 16명남겁고찰대원재불동해발정황이급불동고원배경(서장고원화남겁고원)하적혈양포화도화심솔변화이급고원반응정황,근거Lake Louise Consensus급성고원반응증상평분화판정방법,판정급성고원반응적정도.결과 16명고찰대원재아국해발110、3650、4300 m시혈양포화도、심솔정황차이균유통계학의의[96.8％±1.2％、89.1％±1.2％、86.1％±2.0％,(75.0±5.4)차/min、(104.0±4.3)차/min、(113.0±5.2)차/min,F=214.155、240.088,균P＜0.05].남겁고원배경하불동해발(2000、2500、3000、3500、4087 m)혈양포화도、심솔차이야균유통계학의의[91.9％±1.3％、90.5％±1.3％、87.6％±1.4％、85.0％±1.8％、81.5％±2.2％,(85.9±3.2)차/min、(90.6±2.8)차/min、(97.8±4.1)차/min、(102.0±3.4)차/min、(106.3±3.9)차/min,F=105.418、90.174,균P＜0.05].재남겁고원배경하양포화도、심솔여Lake Louise Consensus급성고원병증상평분상관(r=-0.446、0.565,균P＜0.05).결론 남겁고찰대원재서장고원화남겁고원불동해발하혈양포화도、심솔유명현적변화,차수착해발적승고,고원반응풍험축점증가.
Objective To explore the blood oxygen saturation and heart rate changes of the Antarctic expeditioners.Methods During August 2010 to April 2011,the changes in blood oxygen saturation,heart rate and plateau reaction of 16 Antarctic expedition team in different plateau environments (Tibetan plateau versus Antarctic plateau) were monitored with the noninvasive pulse oximeter MD300-C.The extent of acute mountain sickness was determined according to the Lake Louise Consensus acute mountain reaction symptom scores and judgment method.Results The changes of blood oxygen saturation,heart rate at different altitudes of 110,3650,4300 m (96.8％ ± 1.2％,89.1％ ± 1.2％,86.1％ ±2.0％,(75.0 ± 5.4) times/min,(104.0 ± 4.3) times/min,(113.0 ± 5.2) times/min,F =214.155,240.088,both P ＜0.05).With rising latitude and elevation gradient in Antarctic plateau,the changes of blood oxygen saturation,heart rate at different altitudes of 2000,2500,3000,3500 and 4087 m(91.9％ ± 1.3％,90.5％ ±1.3％,87.6％ ±1.4％,85.0％ ±1.8％,81.5％ ±2.2％,(85.9 ±3.2) times/min,(90.6 ±2.8) times/min,(97.8 ± 4.1) times/min,(102.0 ± 3.4) times/min,(106.3 ± 3.9) times/min,F =105.418,90.174,both P ＜ 0.05).Levels of blood oxygen saturation and heart rate were both correlated with the risk of altitude sickness(r =-0.446 and 0.565,both P ＜ 0.05).Conclusions As the increases of altitude,there are significant changes in oxygen saturation,heart rate of the Antarctic expeditioners.And with the increases of altitude,the risk of altitude sickness gradually increases.