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目的:分析目前我国急性高原病(AMS)的预防研究取得的成果和存在的问题,提出了相应的对策建议。方法:对文献资料和临床病例进行统计分析,结合我区历年进藏新兵部队和部队高原驻训预防AMS的经验,梳理我国军地在AMS预防研究方面取得的成绩及存在的问题,并进行认真的思考分析。结果:目前军队在AMS预防研究上取得了较大的成绩,但是,全国AMS的预防水平参差不齐,主要问题表现在:评价标准缺乏规范性、客观性和公正性;缺乏对急进高原后适宜劳动负荷的研究;预防药物研究原地踏步;缺乏总体和长远规划;成果转化未受到应有的重视。结论:对预防急性高原病的研究,首先应做好顶层设计,坚持开展协作攻关,加强和扩大人才培养,重视和加强现场研究,将研究的目标着眼于提高保障效能。
OBJECTIVE: To analyze the achievements and existing problems in prevention of acute altitude sickness (AMS) in our country and put forward corresponding countermeasures and suggestions. Methods: Based on the statistical analysis of the literature and clinical cases, combined with the experience of AMS troops stationed in Tibet over the past years and the prevention and control of AMS in the Tibetan Plateau, this paper combs the achievements and existing problems in AMS prevention and control of the PLA military and earnestly Thinking and analysis. Results: At present, the military has made great achievements in the prevention of AMS. However, the prevention level of AMS in the whole country is uneven. The main problems are as follows: the evaluation standard lacks normativity, objectivity and fairness; Labor load research; preventive drug research in place; lack of overall and long-term planning; and the transformation of results have not received the attention they deserve. Conclusion: To prevent acute altitude sickness research, we should first do a top-level design, insist on collaborative research, strengthen and expand personnel training, pay attention to and strengthen on-site research, the research goal is to improve the security performance.