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不同作训任务对常驻高原官兵静息状态下生理生化指标的影响
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Journal Article
不同作训任务对常驻高原官兵静息状态下生理生化指标的影响
2017
Overview
目的了解高原低氧环境对不同作训任务官兵静息状态下生理生化指标的影响。方法将常驻高原官兵分为驻营区官兵（海拔4030m和4600m）和野外驻训官兵（海拔4300m）,对驻营区官兵和野外驻训30d的官兵进行生理生化指标检测,包括心率（HR）、血压、血氧饱和度（SpO_2）、血红蛋白（Hb）、总蛋白（TP）、白蛋白（ALB）、球蛋白（GLB）、白球比值（A/G）、总胆固醇（TC）、甘油三酯（TG）、低密度脂蛋白胆固醇（LDL-C）、高密度脂蛋白胆固醇（HDL-C）、肌酸激酶（CK）、乳酸脱氢酶（LDH）、谷草转氨酶（AST）、谷丙转氨酶（ALT）以及AST/ALT比值。结果驻训官兵HR（82.25±14.10次/min）明显高于驻营区官兵（74.18±9.02次/min,P〈0.01）,其Sp O2（88.25%±2.41%）明显低于驻营区官兵（89.38%±2.44%,P〈0.05）,两单位人员的血压差异无统计学意义（P〉0.05）。驻训官兵Hb含量（211.6±17.4g/L）明显高于驻营区官兵（199.3±22.7g/L,P〈0.001）,其高原红细胞增多症患病率（55.6%）明显高于驻营区官兵（25.7%,P〈0.001）。驻营区官兵和驻训官兵的血清蛋白质含量均充足,差异无统计学意义（P〉0.05）。驻训官兵的血脂异常患病率（70.5%）明显高于驻营区官兵（34.0%,P〈0.001）,其中驻训官兵的HDL-C含量（0.81±0.21nmol/L）明显低于驻营区官兵（1.01±0.27nmol/L,P〈0.001）,其低HDL-C血症患病率（65.9%）明显高于驻营区官兵（29.8%,P〈0.001）,驻训官兵和驻营区官兵的TC、TG、LDL-C含量及异常率差异无统计学意义（P〉0.05）。驻训官兵LDH含量（273.70±136.74U/L）明显高于驻营区官兵（205.19±77.94U/L,P〈0.01）,其LDH异常率（72.7%）也明显高于驻营区官兵（51.1%,P〈0.05）。结论高原驻训官兵蛋白质营养充足,但高原红细胞增多症、低HDL-C血症患病率和LDH异常率高于驻营区官兵,严重威胁着驻训官兵的身体健康,常驻高原官兵应适当调整饮食结构和科学安排训练强度,定期体检,做到早预防早治疗。
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