目的 分析移居高原青年男运动员在更高海拔地区集训后急性高原反应（AMS）的影响因素。方法 分析移居海拔3200 m地区的245名青年男运动员,在海拔4200 m地区集训1周后出现AMS的发生率,比较AMS组和非AMS组之间各指标的差异,并探讨AMS的影响因素。结果 245名青年男运动员中,26名AMS症状评分≥5分,占比10.6%。AMS组和非AMS组的年龄、吸烟史、体重指数（BMI）等指标无统计学差异。AMS组的高原居住时间、指脉血氧饱和度明显低于非AMS组;抑郁自评量表（SDS）评分和焦虑自评量表（SAS）评分在AMS组中明显高于非AMS组;AMS组心理弹性量表（CD-RISC）评分显著低于非AMS组,差异有统计学意义（P0.05）。多元logistic回归分析显示,AMS症状的发生与高原居住时间、血氧饱和度、SDS评分、SAS评分有相关性。结论 移居高原（3200 m）青年男性运动员在海拔4200 m地区集训后,AMS发生率较低,AMS症状的发生与高原居住时间、血氧饱和度、SDS评分、SAS评分有关。
Abstract
Objective To analyze the influencing factors of acute mountain sickness（AMS） in young male athletes who had moved to high-altitude areas and then trained at even higher altitudes. Methods A total of 245 245 young male athletes who had moved to an altitude of 3200 meters were analyzed. The incidence of AMS was observed after one week of training at an altitude of 4200 meters. The difference in various indicators between the AMS group and the non -AMS group were compared, and the influencing factors of AMS were explored. Results Among the 245 young male athletes, 26 experienced AMS symptom score ≥5 points, accounting for 10. 6%. There was no statistical difference in age, smoking history, or body mass index （BMI）between the two groups. The exposure time of high altitude and the arterial oxygen saturation in AMS group was significantly lower. The Self-Rating Depression Scale (SDS) score and Self-Rating Anxiety Scale (SAS) score were significantly higher in the AMS group than those in the non-AMS group. The score of the Connor-Davidson Resilience Scale (CD-RISC) in the AMS group was significantly lower than that in the non-AMS group, with statistically significant differences (P < 0.05). Multivariate logistic regression analysis showed that the occurrence of AMS symptoms was related to high-altitude residence time, blood oxygen saturation, SDS score, and SAS score. Conclusions The incidence of AMS in young male athletes who have moved to an altitude of 3200 m and then trained at an altitude of 4200 m is relatively low. The occurrence of AMS symptoms is related to high-altitude residence time, blood oxygen saturation, SDS score and SAS score.
关键词
急性高原反应 /
影响因素 /
青年男性运动员 /
高海拔
Key words
acute mountain sickness /
influencing factors /
young male athletes /
high altitude
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