在中等海拔地区急性山病的发生率
A B Montgomery1, J Mills, J M Luce
1Medical Service, San Francisco General Hospital Medical Center.
JAMA
|February 3, 1989
概括
急性山病 (AMS) 在2000米高处很常见,影响25%的人. 头痛和疲劳等症状通常是轻微的,在72小时内消失,但一半的受影响者寻求药物治疗.
科学领域:
- 高度医学 高度医学
- 环境健康 环境健康
- 身体生理学 身体生理学
背景情况:
- 急性山病 (AMS) 是高海拔地区常见的疾病.
- 了解中等高度的AMS发病率对于旅行者的健康至关重要.
- 持续医学教育课程为学习AMS提供了一个独特的环境.
研究的目的:
- 为了确定急性山病 (AMS) 在中等高度 (2000米) 的发病率.
- 为了比较个人在海平面2000米与海平面2000米的AMS症状.
- 确定影响AMS和症状特征的因素.
主要方法:
- 一项基于问卷的研究对454名参加2000年计划的人进行了调查.
- 一个由海平面上96个人组成的对照组填写了类似的问卷.
- AMS被定义为至少中等强度的三个或更多的核心症状 (头痛,失眠,呼吸障碍,厌食症,疲劳).
主要成果:
- 在2000米处,25%的受试者报告AMS症状,而在海平面上为5%.
- 患病率在从较低海拔地区旅行的受试者中最高.
- 症状主要在前72小时内报告,50%的症状患者自我治疗.
结论:
- 急性山病在中等海拔地区普遍存在,例如2000米.
- AMS的症状通常是短暂的,但可能足够严重,需要药物治疗.
- 对中等海拔地区AMS的预防和管理策略进行进一步的研究是有必要的.
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