中高地における急性山病の発生率
A B Montgomery1, J Mills, J M Luce
1Medical Service, San Francisco General Hospital Medical Center.
JAMA
|February 3, 1989
まとめ
急性山病 (AMS) は,2000mの高さでは一般的であり, 25%の個人に影響する. 頭痛や疲労などの症状は,通常は軽度で72時間以内に治るが,罹患者の半数は治療を受ける.
科学分野:
- 高地医学は,高地医学である.
- 環境衛生 環境衛生 環境衛生
- 生理学 生理学とは
背景:
- 急性山病 (AMS) は,高地での一般的な状態です.
- 中高さのAMS発生率を理解することは,旅行者の健康にとって極めて重要です.
- 継続的な医療教育プログラムは,AMSを学ぶためのユニークな環境を提供します.
研究 の 目的:
- 中高 (2000 m) で急性山病 (AMS) の発生率を決定する.
- AMSの症状を海抜2000mの個体と比較する.
- AMSと症状の特徴に影響を与える要因を特定する.
主な方法:
- 2000mでプログラムに参加した454人の個人を対象にアンケートに基づく研究が行われました.
- 海水面での96人の対照群は,同様のアンケートに回答した.
- AMSは,少なくとも適度な強度の3つ以上の主要な症状 (頭痛,不眠症,呼吸不全,食欲低下,疲労) によって定義されました.
主要な成果:
- 標高2000mの被験者の25%がAMSの症状を報告し,海抜では5%だった.
- 低地から旅行した被験者において発生率が最も高かった.
- 症状は主に最初の72時間以内に報告され,症状のある人の50%が自己治療を行った.
結論:
- 急性山病は,2000mのような中高地で流行しています.
- AMSの症状は一般的に一時的なものですが,薬剤の治療が必要になるほど深刻な場合もあります.
- 適度な高度でのAMSの予防と管理戦略に関するさらなる研究は正当化されています.
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