CAJ | 학술논문

目的：探讨地理因素与青年男性急性高原反应的关系,为高原易感人群的筛选及新的研究思路和方法提供参考。方法整群随机抽取同一批次从低海拔进入高海拔地区的294名青年男性,以问卷形式进行急性高原反应( AMS)发病情况调查,以军标进行AMS诊断。采用二元logistic回归方法,分析10种自然地理因素与AMS发病情况的关系,寻找引起不同地区人群AMS医学地理差异的危险因素。结果 AMS发病率为52.04%(153人),其中头晕、头痛、气短、胸闷、口唇发紫最常见,其发病率分别为89.54%、84.31%、66.01%、65.36%、60.78%。二元logistic回归分析发现,仅有海拔(OR=0.998,P<0.05)进入了回归模型。结论进入高原的人群中,其籍贯所在地海拔越低,越容易发生急性高原反应。对低海拔地区进入高原地区的人员,应采取针对性的预防措施确保其健康与安全。
목적：탐토지리인소여청년남성급성고원반응적관계,위고원역감인군적사선급신적연구사로화방법제공삼고。방법정군수궤추취동일비차종저해발진입고해발지구적294명청년남성,이문권형식진행급성고원반응( AMS)발병정황조사,이군표진행AMS진단。채용이원logistic회귀방법,분석10충자연지리인소여AMS발병정황적관계,심조인기불동지구인군AMS의학지리차이적위험인소。결과 AMS발병솔위52.04%(153인),기중두훈、두통、기단、흉민、구진발자최상견,기발병솔분별위89.54%、84.31%、66.01%、65.36%、60.78%。이원logistic회귀분석발현,부유해발(OR=0.998,P<0.05)진입료회귀모형。결론진입고원적인군중,기적관소재지해발월저,월용역발생급성고원반응。대저해발지구진입고원지구적인원,응채취침대성적예방조시학보기건강여안전。
Abstact:Objective To study the relationship between acute mountain sickness and geographic factors in young males,and provide no-vel materials for screening susceptible population and exploring novel research ideas and methods. Methods Total 294 young men came from low altitude were randomly selected,questionnaire was conducted and military AMS standard was applied for diagnosis. Binary logistic re-gression was used to analyze the relationship between 10 different geographical factors and AMS incidence and figure out the risk factors for medical geographical differences of AMS. Results AMS incidence was 52. 04% (153 people),with most commonly seen dizziness,head-ache,shortness of breath,chest tightness and lip empurples,the occurrence was 89. 54%,84. 31%,66. 01%,65. 36% and 60. 78%,respec-tively. Binary logistic regression analysis revealed that altitude was the only geographical risk factor (OR=0. 998,P<0. 05). Conclusion Among the population who entered plateau,lower native altitude they used to live brings higher risk of AMS,therefore corresponding preven-tions should be adapted for those who come to high altitude from low altitude in order to ensure their health and safety.