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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     (16點)
Predicting Acute Mountain Sickness Susceptibility in Jade Mountain Climbers by Oxygen Saturation at Mountain Entrance and Sea-level
著者:高偉君(Wei-Chun Kao) ;曾春典(Chuen-Den Tseng) ;陳秀熙(Hsiu-Si Chen) ;馬惠明(Hui-Ming Ma) ;陳俊忠(Jin-Jong Chen) ;高偉峰(Wei-Fong Kao)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:急性高山病 ; 血氣飽和度 ; 玉山 ; 高山症 ; acute mountain sickness ; oxygen saturation ; Jade Mountain ; high altitude syndrome
刊名:中華民國急救加護醫學會雜誌
卷期:17卷2期(2006.6)
頁碼:47-54
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

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測定儀?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?高山症(High Altitude Syndrome, HAS);而出現頭痛症狀加上至少有頭暈、失眠、噁心或嘔吐、虛弱等一個以上症狀者,即診斷?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測試,作統計分析。以P值小於0.05視?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?45.88±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。血氣飽和度(SpO2)隨高度上升而下降,在玉山主峰時SpO2平均?84.19±5.39%,與平地比較在登山口SpO2降低愈多者發生急性高山病的機率顯著愈高(P=0.047)。以羅吉斯迥歸方式分析全程自覺症狀變化,在登山口之SpO2,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SpO2平均?84.19%,SpO2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。
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.




本卷期目次
中華民國急救加護醫學會雜誌 17卷2期 (2006.6)
以玉山登山口與平地血氧飽和度差異預測急性高山病/ 高偉君曾春典陳秀熙馬惠明陳俊忠高偉峰
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Successful Treatment of Idiopathic Left Ventricular Tachycardia-induced Cardiomyopathy by Catheter Ablation: A Case Report/ Wen-Shiann WuShane-Haw WangPo-Ming KuTseui-Yuen Huang
Diphenhydramine Overdose Related Delirium: A Case Report/ Min-Po HoKuang-Chau TsaiChang-Ming Liu
魚骨?入引發腹壁膿瘍:病例報告及文獻回顧/ 楊博文楊菁華鄭舒倖吳敬堂羅世慧
後向胸骨鎖骨關節脫臼:容易疏忽的胸部外傷/ 楊竣翔林宏榮林東煜吳澤民戴訓展
 
   
 
   

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