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題名 | 以玉山登山口與平地血氧飽和度差異預測急性高山病=Predicting Acute Mountain Sickness Susceptibility in Jade Mountain Climbers by Oxygen Saturation at Mountain Entrance and Sea-level |
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作者姓名(中文) | 高偉君; 曾春典; 陳秀熙; 馬惠明; 陳俊忠; 高偉峰; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷期 | 17:2 民95.06 |
頁次 | 頁47-54 |
分類號 | 412.84 |
關鍵詞 | 急性高山病; 血氧飽和度; 玉山; 高山症; Acute mountain sickness; Oxygen saturation; Jade mountain; High altitude syndrome; |
語文 | 中文(Chinese) |
中文摘要 | 目的:探討登玉山山友在不同高度血氣飽和度變化與急性高山病之相關性。 方法:本研究採用前瞻相關性研究設計,由事前受過高山急症講習的醫療人員,以預先設計的登玉山山友高山症調查表及血氣到定儀為工具,依據露易絲湖急性高山病指數(Lake Louise Acute Mountain Sickness Score, LLAMSS)對各項高山症狀計分,出現至少一種以上高山症狀者,即視為高山症(High Altitude Syndrome, HAS);而出現頭痛症狀加上至少有頭暈、失眠、嗯心或嘔吐、虛弱等一個以上症狀者,即診斷為急性高山病(Acute Mountain Sickness, AMS)。自台北登玉山主峰,沿途在不同高度對隊員分別做十次定點到試,作統計分析。以P值小於0 . 05視為統計學上顯著差異。 結果:26 位登山友年齡由29歲至70歲,平均為45 . 88 士9 . 7 歲。男性14位,女性12位。所有26位山友住家高度皆低於1000公尺,其中有21 位(80.8 %)有一個以上高山症症狀(HAS ),有9位(34.6 %)符合急性高山病診斷。血氧飽和度(SpQ2 )隨高度上升而下降,在玉山主峰時SpQ2平均為84 .19 士5 .39 %,與平地比較在登山口SpQ2降低愈多者發生急性高山病的機率顯著愈高(P = 0.047)。以羅吉斯迴歸方式分析全程自覺症狀變化,在登山口之SpQ2,每多下降1 % ,其登主峰後發生HAS及AMS的相對危險性分別增加1.8及2.0倍。 結論:從這次的研究發現,登玉山山友約有34.6%符合急性高山病診斷,80.8%出現高山症症狀,在玉山主峰上SpQ2平均為84.19 % , SpQ2在登山口與平地間之差值愈大者,其出現高山症及急性高山病的相對危險性也愈高。 |
英文摘要 | Objective: To examine acute mountain sickness (AMS) in Jade mountain climbers using oxygen saturation (SpO2) at different altitudes. Methods: Twenty-six climbers (12 female, 14 male) aged 29 to 70 years (mean 45.88±9.7) were enrolled.All lived below 1 km. AMS was diagnosed using the Lake Louise Consensus. A climber with at least one high altitude symptom was defined as having high altitude syndrome (HAS). Levels of SpO2 and answers to AMS questionnaires were recorded at different altitudes. Results: The most common high altitude symptom was insomnia, then headache and nausea. The HAS and AMS prevalence rates were 80.8% and 34.6%, respectively. The average SpO2 level at Jade Mountain peak was 84.19±5.39%. The lower the SpO2 level at the entrance of Jade Mountain (2659 m), the higher the Lake Louise AMS score (LLAMSS) (r=-0.215, P=0.047). The greater decline in SpO2 level between the entrance of Jade Mountain and sea-level, the greater the risk of HAS (*1.8) and AMS (*2.0). Conclusions: A large decline in SpO2 level between the entrance of Jade Mountain and sea-level positively correlated with the incidence rates for HAS and AMS. |
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