新复方党参片防治高原脱习服的临床疗效

中国临床药理学与治疗学 ›› 2009, Vol. 14 ›› Issue (6): 681-685.

新复方党参片防治高原脱习服的临床疗效

张东祥¹, 聂鸿靖¹, 张延坤¹, 张汝军², 崔建华³, 程悦⁴, 张雁芳⁴, 崔文玉⁴, 肖忠海¹, 王引虎³, 尹昭云¹, 刘嘉瀛¹, 汪海^1,4

¹军事医学科学院卫生学环境医学研究所环境医学研究室, 天津 300050;
²新疆军区69316 部队, 乌鲁木齐 844900, 新疆;
³解放军第18 医院, 乌鲁木齐 844900, 新疆;
⁴军事医学科学院毒物药物研究所心血管药理学研究室, 北京 100850

收稿日期:2008-12-08 修回日期:2009-05-02 出版日期:2009-06-26 发布日期:2020-10-27
通讯作者: 汪海, 男, 博士, 研究员, 博士生导师, 研究方向:药理学和病理生理学。Tel:010-66932651 E-mail:wh9588@yahoo.com.cn
作者简介:前三名作者对本文的贡献相同。张东祥,男,学士,实验师,研究方向:高原医学。Tel:022-84655138 E-mail:zdx651216@yahoo.com.cn
基金资助:
军队医药卫生杰出人才基金项目;军事医学创新基金项目:军人职业性高原损伤防治药物的研究(06J023)

Therapeutic effects of the new compound codonopsis tablets against deacclimatization to high altitude

ZHANG Dong-xiang¹, NIE Hong-jing¹, ZHANG Yan-kun¹, ZHANG Ru-jun², CUI Jian-hua³, CHENG Yue⁴, ZHANG Yan-fang⁴, CUI Wen-yu⁴, XIAO Zhong-hai¹, WANG Yin-hu³, YIN Zhaoyun¹, LIU Jia-ying¹, WANG Hai^1,4

¹Department of Environmental Medicine, Institute of Health and EnvironmentalMedicine, Academy ofMilitary Medical Sciences, Tianjin 300050, China;
²Xinjiang Military Command 69316 Troops, Yecheng 844900, Xinjiang, China;
³The 18th Hospital of PLA, Yecheng 844900, Xinjiang, China;
⁴Department of Cardiovascular Pharmacology, Institute of Pharmacology and Toxicology, Academy of Military Medical Sciences, Beijing 100850, China

Received:2008-12-08 Revised:2009-05-02 Online:2009-06-26 Published:2020-10-27

摘要/Abstract

摘要： 目的: 研究新复方党参片对高原脱习服的防治作用。方法: 驻守海拔5200 m 一年的男性青年官兵43 人随机分为新复方党参片组(28 人) 和对照组(15 人), 采用单盲试验法。自返回驻地(海拔1400 m) 前5 d 开始分别口服新复方党参片和安慰剂片, 直至返回驻地的第7 天停药, 共服药12 d 。返回驻地的第2、4、6 天, 按高原脱习服症状调查表随访受试者的脱习服症状并进行症状分度评分。返回驻地的第7 天, 检测受试者的用力肺活量(FVC)、1 秒钟用力呼气量(FEV_1.0)、一秒率(FEV_1.0/FVC, FEV1%)、最大呼气中期流速(FEF25%～75%)、呼气峰流速(PEF)、最大通气量(MVV)、左右手交叉敲击动作频率总次数(Ttis)和数字记忆广度顺背数测验得分(Sum) 。结果: 与对照组比较, 返回驻地的第2、4、6 天, 新复方党参片组高原脱习服症状显著减轻(P<0.01);新复方党参片组与对照组的高原脱习服症状程度分度分布不同(P<0.01), 新复方党参片组症状较轻的(基本无反应、轻度反应) 占比重较大, 而对照组中症状较重的(中度反应、重度反应) 占比重较大;新复方党参片组高原脱习服发生率明显降低;新复方党参片组的FVC、FEV_1.0、PEF、MVV 均显著升高(P<0.05, P<0.01), FEV1%和FEF25%～75%无统计学差异;新复方党参片组Ttis、Ctis 显著增加(P<0.05, P<0.01), 平均时间(Atime) 显著减少(P<0.05), 错误次数(Etis) 和Sum 差异不显著。结论: 新复方党参片能减轻高原脱习服的程度, 减轻高原脱习服的症状, 降低高原脱习服发生率;并能显著改善受试者的肺通气功能和手指运动能力, 具有较好的防治高原脱习服的作用。

关键词: 高原, 脱习服, 新复方党参片

Abstract: AIM: To study the therapeutic effects of new compound codonopsis tablets against deacclimatization to high altitude. METHODS: Forty-three male soldiers stayed at 5200 m altitude for one year were randomly divided into two groups:control group (15 men) and treatment group (28 men).Single blind trial was used in this study.Five days before they return to plain (1400 m), they were taken placebo and new compound codonopsis tablets respectively until they arrived in for one week.The questionnaire of symptoms of deacclimatization to high altitude was used on the 2nd, 4th, 6th day after they returned to 1400 m altitude.On the 7th day after returning to 1400 m, FVC (forced vital capacity), FEV_1.0 (forced expired volume in one second), FEV1% (FEV_1.0 FVC), FEF25%-75%, PEF (peak expiratory flow) and MVV (maximal voluntary ventilation) were determined with a spirometer (SriroAnalyzer ST-75), total frequency of hands cross movement and memory of order numbers were tested with a neurosychological monitoring system (DDX-200). RESULTS: Compared with control, symptoms of deacclimatization to high altitude of treatment group were reduced significantly on the 2nd, 4th, and 6th day after returning to 1400 m (P<0.01).The degree of symptoms of deacclimatizating to high altitude in treatment group was distinctly different from that of control (P<0.01).The proportion of slight symptoms in treatment group was high, and that of relative serious symptoms was low.Compared with control, FVC, FEV_1.0, PEF and MVV of treatment group were increased significantly (P<0.05, P<0.01).Ttis, Ctis in treatment group were increased (P<0.05), Atime was decreased markedly (P<0.05).There was no statistically significant difference in Etis and Sum between the two groups. CONCLUSION: New compound codonopsis tablets could decrease the incidence of deacclimatization to high altitude, mitigate the symptoms of deacclimatization to high altitude, improve the breathing function and fingers movement function.New compound codonopsis tablets have a significant effect on prevention and treatment of deacclimatization to high altitude.

Key words: altitude, deacclimatization to high altitude, new compound codonopsis tablet

中图分类号:

R852.1
R285

张东祥, 聂鸿靖, 张延坤, 张汝军, 崔建华, 程悦, 张雁芳, 崔文玉, 肖忠海, 王引虎, 尹昭云, 刘嘉瀛, 汪海. 新复方党参片防治高原脱习服的临床疗效[J]. 中国临床药理学与治疗学, 2009, 14(6): 681-685.

ZHANG Dong-xiang, NIE Hong-jing, ZHANG Yan-kun, ZHANG Ru-jun, CUI Jian-hua, CHENG Yue, ZHANG Yan-fang, CUI Wen-yu, XIAO Zhong-hai, WANG Yin-hu, YIN Zhaoyun, LIU Jia-ying, WANG Hai. Therapeutic effects of the new compound codonopsis tablets against deacclimatization to high altitude[J]. Chinese Journal of Clinical Pharmacology and Therapeutics, 2009, 14(6): 681-685.

[1]	唐若愚, 屈莺歌, 许洪涛, 阎澜, 颜天华, 姜远英, 曹永兵. 红景天苷防治急性高原病的作用及机制[J]. 中国临床药理学与治疗学, 2015, 20(7): 822-827.
[2]	崔文玉, 聂鸿靖, 张东祥, 肖忠海, 张雁芳, 崔建华, 石永平, 龙超良, 王引虎, 汪海. ATP敏感性钾通道开放剂埃他卡林对高原脱习服的影响[J]. 中国临床药理学与治疗学, 2010, 15(2): 190-193.
[3]	高芬, 关巍, 久太. 高原环境肺功能改变对复方新诺明药物动力学的影响[J]. 中国临床药理学与治疗学, 2009, 14(7): 790-793.
[4]	陈晓光, 吕宏大, 尚安云, 郭宝琛. 高原地区碳酸利多卡因在剖宫产术中的临床应用[J]. 中国临床药理学与治疗学, 2008, 13(8): 922-925.