Changes of blood indexes of troops entering the plateau from low-altitude areas
WANG Jian1, LIU Hui1, LI Cheng1, GENG Ruihui2, LIU Zheng1
1. Health Care Section,Weigongqiao Outpatient Department,Jingxi Medical Section of Chinese PLA General Hospital,Beijing 100089,China; 2. Outpatient Department,the First Mobile Corps Hospital of Armed Police, Dingzhou 073000,China
Abstract：Objective To study the changes of blood biochemical indexes of troops who entered the plateau from low altitude areas in order to identify the risk factors for plateau diseases to improve their adaptability to the special environment of the plateau. Methods A total of 183 officers and soldiers from a station at an altitude of 1500 m were selected as the subjects. Their venous blood was collected before entering the plateau and 30 days after entering the plateau (3600 m above sea level). Their levels of red blood cells (RBCs), hemoglobin (HB), lactate dehydrogenase (LDH), creatine kinase (CK), creatine kinase isoenzyme (CK-MB), alanine aminotransferase (ALT), aspartate aminotransferase (AST), Total bilirubin (TBIL), direct bilirubin (DBIL), indirect bilirubin (IBIL), and creatinine (UA) were detected and processed using SPSS 18.0 statistical software. Results Excluding 3 subjects whose venous blood was not collected as scheduled, 180 patients completed the study. Thirty days after they entered the plateau from low altitude areas, the indexes of RBCs (6.06±0.17)×1012/L, HGB (179.86±2.23)g/L, CK (289.16±22.15)U/L, CK-MB (19.23±0.92) U/L, AST (27.00±1.12)U/L, ALT (26.93±1.52)U/L, and LDH (229.90±5.57)U/L were significantly elevated, compared to (5.74±0.09)×1012/L, (169.06±1.98)g/L, (172.00±24.11)U/L, (14.00±0.88)U/L, (21.23±1.01)U/L, (20.93±1.67)U/L and (168.40±6.12) U/L before they entered the plateau, so the difference was statistically significant (P<0.05). The indicators of TBIL, IBIL, DBIL, and UA were also significantly higher, and the difference was statistically significant (P<0.05). Conclusions The hypoxic environment on the plateau has a great impact on the health of officers and soldiers. In the future, the physical examination of officers and soldiers on the plateau should be more exhaustive, and the risk factors for plateau diseases should be discovered in time to improve the survival and adaptability of officers and soldiers.
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WANG Jian1, LIU Hui1, LI Cheng1, GENG Ruihui2, LIU Zheng1. Changes of blood indexes of troops entering the plateau from low-altitude areas. Med. J. Chin. Peop. Armed Poli. Forc., 2020, 31(9): 762-764.
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