摘要
目的研究康复疗养对高原官兵肺功能的影响。方法将刚下4 000 m以上高原赴临潼疗养院的31名高原官兵分为疗养+高压氧疗组和正常疗养组,分别于入院时、疗养15 d及疗养30 d时检测肺功能并对其评价。结果海拔4 000 m以上守防半年官兵呼吸肌力、小气道功能及肺潜能明显下降,吸烟者的FVC、FEF50、FEF25及MVV均显著降低(P<0.01);康复疗养后两组肺功能的FVC、MVV值均有所改善,正常疗养组显著;康复疗养对守防6个月官兵肺功能MVV有明显的改善作用,对守防海拔5 000 m官兵肺功能FVC有着明显改善作用;随着疗养时间的延长,疗养30 d较入院时、疗养15 d相比,肺功能中的FVC显著改善。结论高原环境对官兵肺功能有一定的影响,康复疗养对高原官兵呼气量、通气量有很好的调节作用,尤其对海拔高、防守时间长的高原官兵下山后组织康复疗养,对其提高肺功能,促进机体功能恢复具有重要的作用。
Objective To study the influence of rehabilitation and recuperation on lung function of officers and soldiers on plateau. Methods 31 officers and soldiers just coming down from the plateau of an altitude over 4 000 m to Lin Tong Sanatorium were divided into two groups :the hyperbaric oxygen therapy group(the normal recuperation+hyperbaric oxygen therapy) and the normal recuperation group,whose lung function was recorded and evaluated on the1 st day of admission,15 th day and 30 th day with different rehabilitation measures. Results The respiratory muscle strength,small airway function and lung potential of the officers and soldiers stationed for more than 6 months on plateau over an altitude of 4 000 meters decreased obviously,and the FVC,FEF50,FEF25 and MVV of the smokers significantly decreased( P <0.01).After rehabilitation and recuperation,the FVC and MVV of lung function in both groups were improved,and the normal recuperation group was significant( P<0.01).Through rehabilitation and recuperation,the MVV of lung function among the officers and soldiers with 6 months of defense clearly improved,and the FVC of lung function among the officers and soldiers from an altitude of 5 000 meters clearly improved.With the extension of recuperation time,the FVC of lung function improved significantly on the 30 th day compared with that on the 1st day and 15 th day. Conclusion Plateau environment has certain influence on lung function of the officers and soldiers.Rehabilitation and recuperation has good regulation on the expiratory volume and ventilatory capacity for officers and soldiers from plateau.Especially for those from high altitude with long defense time,rehabilitation and recuperation play an important role in improving lung function and promoting the body function.
出处
《中国疗养医学》
2016年第7期673-676,共4页
Chinese Journal of Convalescent Medicine
基金
全军后勤科研项目(CLZ12L013)
关键词
高原官兵
康复
疗养
肺功能
Plateau officers and soldiers
Rehabilitation
Recuperation
Lung function
