西藏入境外国人高原性疾病现状及健康干预评估

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目的西藏高原恶劣的气候条件和自然环境对旅行者有着较大的危害甚至威胁到高原旅行者的生命。方法 1、在不同海拔中各项指标的检测;2、对82名旅行者进行了与高原病相关知识的问卷调查;3、对105名导游人员高原知识培训前后的问卷调查;4、口岸设立高原咨询和宣传旅行安全知识;结果 1、在不同海拔高度中对两组间的血压、心率和心电图有显著性差异,药物预防和宣传高原病知识有一定的效果;2、在不同海拔高度中两组间一般症状的问卷在海拔4500米处循环系统的变化有显著性差异;3、对82名旅行者高原知识问卷中75.61%人了解高原气候、65.85%的有旅行计划、65.85%有经常锻炼、78.05%人了解高原病的相关知识、95.12%人对高原病没有恐惧感、59.76%人曾去过海拔3800米以上、78.05%人有旅行社提供过高原旅行健康知识,因此该人群对高原病的危险相对较少;4、导游人员高原病知识问卷对15项相关知识的问卷中有9项知识培训前后有显著性差异,培训对导游人员有一定效果。结论 1、海拔在188和4400米处两组心电图变化有显著性差异,P﹤0.05和0.01;2、海拔在4500米两组的变化具有显著性差异=4.286 P<0.05;3、导游人员高原病知识问卷15项中10项均有差异。 Purpose The harsh climatic conditions and natural environment on the Tibetan Plateau have a greater impact on travelers and threaten the lives of tourists in plateau. Method 1, Detection of various indexes at different altitudes; 2, Questionnaire survey of 82 travelers about knowledge related to altitude sickness; 3, Questionnaire survey of 105 tour guides before and after training of plateau knowledge; 4, Port establishment Plateau consultation and publicity travel safety knowledge; Results 1, at different altitudes on the two groups of blood pressure, heart rate and ECG were significantly different, drug prevention and promotion of knowledge of altitude sickness have a certain effect; 2, at different altitudes There were significant differences in the circulatory system between the two groups at the altitude of 4,500 meters; 3, 75.61% of 82 travelers surveyed plateau climate, 65.85% had travel plans, 65.85% had regular Exercise, 78.05% of people understand the knowledge of altitude sickness, 95.12% of people have no fear of altitude sickness, 59.76% had been to more than 3800 meters above sea level, 78.05% of travel agencies have provided travel knowledge of plateau travel, so the crowd on the plateau The risk of disease is relatively small; 4, Tour guides knowledge of altitude sickness questionnaire questionnaire on 15 related knowledge, there are nine knowledge training before and after significant differences in training for tour guides have a Effect. There was a significant difference between the two groups at the elevation of 188 and 4400 m (P <0.05 and 0.01). 2, There was a significant difference between the two groups at elevation of 4,500 m = 4.286 P <0.05; 3. There were 10 differences among the 15 items in the questionnaire.
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