急性高原病发病率调查及群体预防措施的探讨

目的：探讨群体预防急性高原病（AMS）的有效措施；方法：地空运入藏新兵中调查对象的AMS发病率和住院率进行追踪调查，总结部队预防AMS的成功经验，结果：AMS的发病率逐年降低，从1987年的48．45％下降到2001年的22．8％，P＜0．01；采取的主要预防措施为：加强卫生管理，尽量减少不必要的活动，降低耗氧量，提高群体的高原医学知识，树立良好的生理和心理准备，正确认识缺氧症状和机体代偿过程，从而达到良好习服高原低氧环境的目的，结论：在现阶段，因地制宜地采用综合措施，是群体预防AMS最有效，最实用，最经济的方法，其中，高效的卫生管理是最根本的环节。

INVESTIGATION ON INCIDENCE OF ACUTE MOUNTAIN SICKNESS OF RECRUITS AND DISCUSSION ON PREVENTIVE METHODS FOR COLLECTIVENESS

Objective:To investigate the method of prevent acute mountain sickness(AMS) for collectiveness.Method:The incidence and admission rate of AMS of recruits exposed to altitude by airplanes were followed-up since 1987.The successful experience in preventing AMS was summarized.Results:The incidence of AMS decreased gradually from 48.45% in 1987 to 22.8% in 2001.The decreased extent was very significant.Besides decline of incidence of AMS,the admission rate of AMS decreased too,from 2.18% in 1993 to 0 in 1998 and 2001.The main preventive methods were enhancing medical management,decreasing excess oxygen consumption,teaching recruits high altitude medicine,helping them to set good physiological and psychological adaptation.Conclusion:Colligation method of preven ting AMS for collectiveness is the best effective,practical and economic at now,and effectiv medical management is the key to the method