青海高原6—7岁小儿红细胞形态定量分析

应用计算机辅助形态测量系统,对我国青海高原贵南县（海拔３１００ｍ）、玛多县（海拔４３００ｍ）６－７岁小儿红细胞形态进行了定量分析。与北京市儿童（平原地区）相比,高原正常儿童细胞平均周长、面积、直径较平原对照组大,而红细胞平均厚度减小（Ｐ＜０．０１）。且红细胞平均、面积、直径与海拔高度呈正相关。红细胞平均厚度与海拔高度呈负相关（Ｐ＜０．０００１）。在高原低氧状态下,红细胞形态的这种改变使红细胞比表面     

高原适应过程中大鼠脑内β－内啡肽含量变化的研究

选用成年雄性Ｗｉｓｔａｒ大鼠,由平原（海拔５ｍ,上海）直接运送到高原（２２６１ｍ,西宁和３４６０ｍ,天峻）。以放射免疫分折法研究了大鼠在高原２４ｈ．急性缺氧期和３０ｄ慢性缺氧期中枢脑内β－内啡肽样免疫活性物质（β－ＥＰ）的含量变化。结果表明：１．大鼠在两个不同海拔（２２６１ｍ,３４６０ｍ）环境２４ｈ急性缺氧期与平原对照组相比,脑垂体内β－ＥＰ含量降低非常显著（Ｐ＜０．０１）,纹状体、丘脑、下丘脑、桥－延脑、海马内β－ＥＰ含量均增加非常显著（Ｐ＜０．０１）。２．大鼠在３４６０ｍ高原３０ｄ慢性习服期,垂体及各脑区内β－ＥＰ的含量变化呈时相性：即１—３ｄ均呈进行性增加（Ｐ＜０．０１）：３－１５ｄ呈持续性减少,除中脑、纹状体、丘脑外,均为Ｐ＜０．０１。１５－３０ｄ垂体、丘脑、皮层、纹状体内β－ＥＰ含量仍持续减少（毒体、皮层Ｐ＜０．０１）,桥－延脑、下丘脑、海马趋于回升（Ｐ＜０．０１）,中脑亦趋于回升（Ｐ＞０．０５）。脑内β－ＥＰ的这种变化可能具有十分重要的生物学意义。     

低氧对横断脊髓大鼠脊髓反射兴奋性的影响

本文用低压舱模拟不同海拔高度,测定横断脊髓大鼠脊髓反射兴奋性恢复曲线。断脊髓组和对照组自海拔２０００ｍ以后脊髓反射兴奋性逐渐增高,但两组出现差异有显著性的海拔高度不同,断脊髓组为海拔４０００ｍ,对照组为海拔３０００ｍ。对照组与断脊髓组在同一海拔高度上比较,除海拔３０００ｍ时差别有显著性（Ｐ＜０．０５）外,在其它各海拔高度上两组间差异无显著性（Ｐ＞０．０５）。结果表明,低氧时脊髓以上中枢和脊髓都参与脊髓反射兴奋性升高的调节     

溃疡病胃窦幽门腺β-内啡肽样免疫反应细胞体视学分析

应用真彩色图象分析仪,对１５例ＤＵ、ＧＵ和Ｃｏｎ组患者,非病变区胃窦粘膜幽门腺,１５１个β－内啡肽样免疫反应细胞（β－ＥＰ细胞）的１２个参数进行检测及每组７５个单位面积（５０００μｍ２）的β－ＥＰ细胞进行计数。β－ＥＰ细胞的周长、面积、长径、短径和平均体积数值是ＤＵ组＜ＧＵ组＜Ｃｏｎ组,各组间两两相比,均呈高度显著性差异,Ｐ＜０．０１。在ＤＵ与Ｃｏｎ组、或ＧＵ与Ｃｏｎ组之间,比表面、平均截距、平均表面积和平均直径数值相比,亦呈高度显著性差异,Ｐ＜０．０１。ＤＵ组β－ＥＰ细胞数增高,与ＧＵ或Ｃｏｎ组分别相比,均呈高度显著性差异,Ｐ＜０．０１。在三组中,β－ＥＰ细胞的比表面积、平均截距、平均表面积、平均直径数值和细胞数的显著性差异率在６０％以上,周长、面积、长径、短径和平均体积数值达１００％。本文首次建立了ＤＵ、ＧＵ和Ｃｏｎ组非病变区胃窦粘膜幽门腺β－内啡肽细胞的二维和三维形态计量学参数数据,提示β－ＥＰ细胞参与了溃疡病的内分泌调控活动。     

青年男性高原移居者最大摄氧量计算公式的推导

最大摄氧量（Ｖｏ２ｍａｘ）是评价人体体力的重要指标,其测定方法分直接法和间接法两种。目前所推导的间接计算公式都是在平原、或是在进入高原初期推导的,不适用于高原习服人群。本研究采用逐步回归的方法,推导出移居高原７－２７个月、不同高度的青年男性Ｖｏ２ｍａｘ间接计算公式。在海拔３６８０ｍ地区,Ｖｏ２ｍａｘ（Ｌ／ｍｉｎ）＝１．１５３１＋０．００７３２７身高（ｃｍ）＋０．０１６１３体重（ｋｇ）－０．００５８８３晨脉（ｂ／ｍｉｎ）－０．００４５３４运动心率（６０Ｗ,６／ｍｉｎ）,Ｒ＝０．７４５,Ｐ＜０．０１,ＳＳ＝３．７７９９;或Ｖｏ２ｍａｘ（Ｌ／ｍｉｎ）＝１．２１８６＋０．０１９８４体重（ｋｇ）＋０．０７２５９肺活量（Ｌ）－０．００６６５９晨脉（ｂ／ｍｉｎ）,Ｒ＝０．７１３,ｐ＜０．０１,ｓｓ＝３．９６３６。在４３５０ｍ地区,Ｖｏ２．ｍａｘ（Ｌ／ｍｉｎ）＝０．４９１７＋０．０１６８７体重（ｋｇ）＋０．１１０９肺活量（Ｌ）＋０．００１９８３屏气时间（Ｓ）,Ｒ＝０．７８１,Ｐ＜０．０１,ＳＳ＝２．１３５６。计算值与实测值比较,变异系数在１３％以内,结果准确可靠,适用于青年男性高原习服移居者。     

高原红细胞增多症患者红细胞二磷酸甘油酸和氧亲和力变化的探讨

在海拔４３００ｍ地区,对１８名移居汉族、２４名世居藏族和２１名高原红细胞增多症（ＨＡＰＣ）患者测定了２,３—二磷酸甘油酸（２,３—ＤＰＧ）和肺通气功能,并进行了血气分析。结果显示：ＨＡＰＣ患者的全血和红细胞内２,３—ＤＰ６浓度均显著高于健康组,但世居、移居健康组之间无明显差异。ＨＡＰＣ组的红细胞２,３—ＤＰＧ和Ｐｄｏ＿２呈显著负相关（ｒ＝—０．７７１,Ｐ＜０．０１）,而在健康组无显著相关（ｒ＝—０．２６,Ｐ＞０．０５）。ＨＡＰＣ组与健康组相比,ｐＨ、Ｐａｏ＿２和Ｓａｏ＿２降低,Ｐａｃｏ＿２和肺泡动脉氧分压差增高。ＨＡＰＣ病人Ｐ＿（５０）为３．７５±０．６６ｋＰａ,健康组为３．４０±０．１２ｋＰａ（Ｐ＜０．０５）,Ｐ＿（５０）与２,３－ＤＰＧ呈正相关（ｒ＝０．５９２,Ｐ＜０．０５）。ＨＡＰＣ组最大呼气中段流量和５０％肺活量最大呼气量明显低于健康组（Ｐ＜０．０１）。本研究提示：①ＨＡＰＣ患者的低氧血症可能与血中２,３－ＤＰＧ浓度过高有关;②轻度肺功能异常亦可促使红细胞进一步增多。     

红景天中药复方对低氧劳动能力的影响

我们研制了以藏产大花红景天为主要成分的中药复方用以提高机体的低氧劳动能力。在模拟海拔１００００ｍ的小鼠游泳实验中,药物组和对照组动物的存活时间分别为７３．２±３．８和６０．５±４．０ｍｍ（Ｐ＜０．０５）;游泳６０ｍｉｎ（相当于对照组的平均存活时间）以后死亡的百分数分别为５３．０％和３５．８％（Ｐ＜０．０５）。大鼠在模拟海拔５０００ｍ游泳１ｈ,药物组和对照组动物的血乳酸含量分别为１４．６±１．８和２１．１±１．９ｍｍｏｌ／Ｌ（Ｐ＜０．０５）。在模拟海拔４３００ｍ低压舱内人体运动负荷试验中,药物组和对照组受试者的ＰＷＣ１７０分别为９８０．４±５２．８和８６６．４±３０．０（Ｐ＜０．０１）。提示,红景天中药复方能明显提高低氧劳动能力。     

中长跑运动的心血管效应

本研究通过利用彩色多普勒超声心动图对２４例专业中长跑运动员的心脏形态、血液动力学改变及收缩舒张功能参数进行了观察,并与２０例从未参加过正规训练的同龄案牍工作者对照组进行了对比研究,结果显示：中长跑运动员的舒张末期左室内径（ＬＶＤｄ）、左室舒张末容量（ＬＶＥＤＶ）、收缩末容量（ＬＶＥＳＶ）、每搏量（ＳＶ）、左室心肌重量（ＬＶＭ）及左室心肌重量指数（ＬＶＭＩ）均高于对照组（Ｐ＜０．０１）;舒张早期峰值血流速度（ＰＦＶＥｃｍ／ｓ）高于对照组（Ｐ＜０．０１）;舒张晚期峰值血流速度（ＰＦＶＡｃｍ／ｓ）,Ｅ峰面积（Ｅａｒｅａｍ）,舒张早期峰值血流速度与舒张晚期峰值血流速度比（ＰＦＶＥ／ＰＦＶＡ）也高于对照组（Ｐ＜０．０５）。而出现三尖辩肺动脉返流的比例也明显高于对照组（Ｐ＜０．０１）。认为：中长跑运动员不仅心脏形态大小及收缩功能有显著改变,而且在舒张功能也有明显变化     

高原红细胞增多症患者红细胞二磷酸甘油酸和氧亲和力变…

在海拔４３００地区,对１８名移居汉族、２４名世居藏族和２１名高原红细胞增多症（ＨＡＰＣ）患者测定了２,３－二磷酸甘油酸（２,３－ＤＰＧ）和肺通气功能,并进行了血气分析。结果显示：ＨＡＰＣ患者的全血和红细胞内２,３－ＤＰＧ深度均显著高于健康组,但世居、移居健康组之间无明显差异。ＨＡＰＣ组的红细胞２,３－ＤＰＧ和Ｐａｏ２呈显著负相关（ｒ＝－０．７７１,Ｐ＜０．０１）,而在健康组无显著相关（ｒ＝－０＼２     

高原低氧性肺动脉高压的多普勒超声研究

应用脉冲式或连续式多普勒超声技术,对１８例海拔３２００ｍ高原正常人及２５例高原心脏病（ＨＡＨＤ）患者测定其肺动脉压。正常组及ＨＡＨＤ无瓣膜返流组１０例应用Ｈａｈａｍ回归方程,肺动脉平均压（ＰＡＭＰ）分别为２．８４±０．４及３．７３±０．５７ｋＰａ（ｋＰａ＝７．５ｍｍＨｇ）;ＨＡＨＤ有三尖瓣返流组８例用ＴＲＰＧ法测得ＰＡＳＰ为６．１３±１．７３ｋＰａ;ＨＡＨＤ有肺动脉瓣返流组Ｔ例用ＰＲＰＧ法测得ＰＡＤＰ为４．０±０．７３ｋＰａ。表明多普勒超声技术的不同方法可用于不同病理状态下高原低氧性肺动脉高压的测定,并可揭示出现瓣膜返流改变时高原低氧性肺动脉高压的程度。     

Lack of prominent compensatory polycythemia in traditional native Andeans living at 4,200 meters

Red blood cell count (RBC), hemoglobin concentration ([Hb]) and hematocrit (Hct) were measured in 303 male Quechua children and adults, aged 6 to 57 years, living a lifestyle as traditional pastoralists and horticulturalists at a mean altitude of 4,200 m in the Southern Peruvian Andes. Values for RBC, [Hb], and Hct increased with age from middle childhood to young adulthood. However, among adults there was no significant association between age and any of these three parameters. Overall, there was approximately a 10-12% increase in the RBC, [Hb], and Hct above sea-level norms for all age groups. Mean corpuscular volume (MCV) and mean corpuscular hemoglobin (MCH) showed a slight but significant increase with age in children and adolescents, but the mean corpuscular hemoglobin concentration (MCHC) did not. We conclude that the study of highland Quechua Indians, living a traditional lifestyle as pastoralists and horticulturalists, does not support the long-held belief that altitude hypoxia provokes a dramatic compensatory polycythemia in healthy Andeans.     

Maximal oxygen uptake and erythropoietic responses after training at moderate altitude

Six well-trained male cross-county skiers trained for 7 days at 2700 m above sea level, their accommodation being at 1695 m. Blood samples for haemoglobin concentration [Hb], erythropoietin concentration [EPO] and reticulocyte count were collected before, during and after altitude exposure. Packed cell volume (PCV), red blood cell count (RBC), transferrin-iron saturation, mean red cell volume (MCV), mean corpuscular haemoglobin concentration (MCHC), maximal oxygen uptake, maximal achieved ventilation and heart rate were determined pre- and postaltitude exposure. The [EPO] increased significantly from pre-altitude (mean 36 mU.ml-1, SD 5) to maximal altitude values (mean 47 mU.ml-1, SD 3). The [Hb] had increased significantly above pre-altitude values (mean 8.8 mmol.l-1, SD 0.5) on day 2 (mean 9.1 mmol.l-1, SD 0.4) and day 7 (mean 9.4 mmol.l-1, SD 0.4) at altitude and on day 4 postaltitutde (mean 9.2 mmol.l-1, SD 0.4). The reticulocyte counts had increased significantly above pre-altitude values (mean 6%, SD 3%) on day 3 at altitude (mean 12%, SD 8%) and day 4 postaltitude (mean 10%, SD 5%). The RBC counts had increased on the 4th postaltitude day. The transferrin-iron saturation had decreased below pre-altitude values (mean 23%, SD 4%) on day 4 postaltitude (mean 14%, SD 5%) and had increased on day 11 postaltitude (mean 22%, SD 7%). There were no significant changes in MCV, MCHC, PCV, maximal oxygen uptake and maximal achieved ventilation, and heart rate pre- to postaltitude. These observations demonstrated an erythropoietic response to the altitude training which was not sufficient to increase the postaltitude maximal oxygen uptake.     

The effects of high altitudes on child growth and development

This study compares the growth characteristics of populations of Tibetan origin living in Nepal to high altitude populations of Peru and Ethiopia. Measurements were made on two groups of children, a sample of Sherpas living in the Everest region of northeast Nepal at elevations in excess of 3500 m, and a sample of Tibetan children living in Kathmandu at an altitude of 1000 m. Although the Tibetan children showed some growth advancement over the highland sample of Sherpas, the differences were less than might have been expected on the basis of work carried out in Peru, where long established high altitude populations live at similar elevations to those of Himalayan populations. In particular, some growth trends seen in Andean populations, such as the increased diameter of the chest wall, are not seen in populations of Tibetan origin. It is suggested that genetic influences may exert a stronger effect on the growth of high altitude populations than hitherto believed.Presented the Seventh International Biometeorological Congress, 17–23 August 1975, College Park, Maryland, USA.     

High altitude and blood pressure in children

We aimed to evaluate the blood pressure of children who had similar demographic characteristics but lived at different altitudes. Blood pressure of the children attending primary schools in Izmir (sea level: n = 425) and Van (altitude: 1725 m, n = 291) were measured by mercurial sphygmomanometer for this study. They were similar with respect to age, sex, weight, height, and BMI. Mean age of the children was 10.51 +/- 0.87 years (range: 9 to 12 years), and 358 (50 percent) of them were female. Mean systolic blood pressure was significantly higher in the children living in Van than in the children living in Izmir (104.72 +/- 11.2 vs. 97.96 +/- 25.5 mmHg, respectively, p < .001). Similarly mean diastolic blood pressure was significantly higher in the children living in Van than in the children living in Izmir (63.98 +/- 9.3 vs. 59.91 +/- 10.0 mmHg, respectively, p < .001). When blood pressure was evaluated with regard to height percentile, the number of children with a blood pressure over 90 percentile were 19 (4.5 percent) and 48 (16.5 percent) for systolic blood pressure, and 25 (5.9 percent) and 37 (12.7 percent) for diastolic blood pressure among the children living in Izmir and Van, respectively (p < .001). Systolic and diastolic blood pressures were found to increase in parallel to the increase in body mass index in children living in Van (r = 0.358, p < .001 and r = 0.235, p < .001, respectively). However, blood pressures were not correlated to body mass index in children living in Izmir. A difference of 1700 m in altitude was associated with higher systolic and diastolic blood pressure levels in children with similar demographic characteristics, and at this altitude, body mass index and blood pressure showed a positive correlation.     

Effect of altitude on the lung function of high altitude residents of European ancestry

The forced vital capacity (FVC), forced expiratory volume in one second (FEV), and ratio of FEV to FVC (%FEV) of 161 male and 158 female youths of European ancestry who were born at high altitudes and who were residing in La Paz, Bolivia (average altitude of 3,600 m) were examined and compared with those for lowland Europeans and highland Aymara Amerindians. FVC and FEV were significantly larger (p less than .001) in the La Paz Europeans than in two lowland control samples of European ancestry, with the relative differences between samples varying from small (1.5-4.1%) to moderate (7.7-11.9%). It could not be determined whether the enhanced lung volumes of the La Paz European children were acquired through an accelerated development of lung volumes relative to stature during adolescence, as is the case for Amerindian highlanders. After controlling for body and chest size, FVC and FEV were significantly smaller in the La Paz Europeans than in highland Aymara (p less than .001), suggesting that the lung volumes of the Aymara are influenced by factors other than simply growth and development at high altitude. Finally, as found in Amerindians, chest size is an important determinant of intra-individual variation in lung function among highland Europeans.     

Growth characteristics of populations of Tibetan origin in Nepal.

Previous growth studies of highland-dwelling populations in the ecologically diverse areas of Peru and Ethiopia have yielded highly varied results: the retarded growth of the Peruvian sample was attributed to the effects of hypoxia, while the increased height and weight of the highland Ethiopian sample could be traced to better health conditions in the highland village than in the lowland village studied. In an attempt to provide a basis for evaluating studies of growth at high altitude, the present study compared Sherpa children living in the Everest region of Nepal with Tibetan children living in Kathmandu. It was found that: (1) the growth of Sherpa and Tibetan children is considerably retarded compared to other high altitude populations; (2) despite conditions favorable for optimum growth among the Tibetans, their growth resembled that of the Sherpas and (3) increased chest circumference, which seems to reflect a developmental acclimatization to hypoxia among Peruvian high-altitude natives, was not seen among the Sherpas.     

Haematological studies on the prewintering and wintering frog, Rana esculenta

1. A study of the haematology of the frog Rana esculenta including erythrocyte count (RBC), haemoglobin content (Hb), haematocrit (HCT), mean cell volume (MCV), mean corpuscular haemoglobin (MCH), mean corpuscular haemoglobin concentration (MCHC) and erythrocyte size as a function of prewinter and winter was made. 2. The RBC count and Hb were significantly higher in contrast to MCV and MCH values during prewinter in both sexes. 3. The surface area to volume ratio was higher in prewinter whereas the length to width ratio (eccentricity) of the cytosome and nucleus was significantly higher during winter in both sexes. 4. Sexual differences in the erythrocyte count, Hb content and the surface area to volume ratio were also observed. 5. The physiological significance of these observations are reported for Rana esculenta.     

Altitudinal distribution and blood values in the toad, Bufo spinulosus Wiegmann

1. Red blood cell (RBC) count, RBC size, hematocrit, cell and blood hemoglobin concentrations and plasma total solid concentration were measured in 16 lowland (from near sea level up to 2700 m) and 18 highland (3200 up to close to 4500 m) adult toads (Bufo spinulosus). 2. Lowland toads showed higher hematocrit values than highland toads, but their blood hemoglobin concentration and plasma solid concentration were not significantly different. 3. Highland toads had smaller RBC size, higher corpuscular hemoglobin concentration, a trend toward larger RBC count and a considerably smaller body size. These features may contribute to their successful life at high altitude.     

Effect of altitude on urinary,plasma and nail fluoride levels in children and adults in Nepal

IntroductionA greater prevalence of dental fluorosis has been reported in higher- versus lower-altitude communities. This study, for the first time, examined several aspects of fluoride metabolism in children, aged 4–5 years, and their parent, living at lower altitude (<78 m) and higher altitude (>1487) areas in Nepal.MethodsThe study assessed total daily fluoride intake (TDFI), 24 h urinary fluoride excretion (UFE), and fluoride concentrations of toe- and finger-nail (FC_toenail, FC_fingernail) in children and parents as well as fluoride concentration of plasma (FC_plasma) in parents. Fractional urinary fluoride excretion (FUFE) was calculated as the ratio between UFE and TDFI. FC_toenail, FC_fingernail and FC_plasma were normalised for TDFI by dividing the variables by TDFI and the ratio was reported as the percentage.ResultsIn total, 89 children and 80 parents took part in the study: 42 children and 41 parents from the lower altitude area; 47 children and 39 parents from the higher altitude area. Fluoride concentration of drinking water was significantly (P < 0.001) higher at lower altitude (0.395 mg F/l) than at higher altitude (0.104 mg F/l). TDFI was significantly (p < 0.001) higher in both children and parents living in lower altitude than those living at higher altitude.There was a statistically significant (p = 0.044) difference in the mean FUFE of children living at lower altitude (53%) and higher altitude (46%). However, no significant difference in FUFE was found between parents living at lower altitude (47%) compared with higher altitude (41%).In both children and parents, no statistically significant differences in normalised FC_toenail, FC_fingernail were found between the two altitude areas. However, normalised FC_plasma was statistically significantly (P = 0.005) higher in parents living at higher altitude (0.15%) compared with those living at lower altitude (0.11%).ConclusionThe results suggest that higher altitude living results in decreased urinary fluoride excretion, and consequently increased fluoride retention in children for a given dose (amount) of fluoride.     

Body structure and respiratory efficiency among high altitude Himalayan populations

To understand the morphological and physiological variations among the temporary and permanent residents of high altitude, this study was undertaken at Leh, Ladakh. It is situated at 3500 m (11500 feet) above sea level, the mean barometric pressure was 500 tors and air temperature varied from 2 degrees C to 20 degrees C. The highland Tibetans showed broadest chest and most developed musculature closely followed by Ladakhi Bods. These high altude natives also displayed significantly higher value of vital capacity, forced vital capacity, and inspiratory capacity. The better respiratory efficiency observed among high altitude residents indicates higher degree of adaptation to high altitude hypoxia. Temporary residents were observed to be tallest and fattest with lower trunk fat predominance of all the four groups and showed narrowest chest and lower respiratory efficiency as compared to high altitude natives. The duration of stay at high altitude has clearly brought about a perceptible difference in body dimensions and respiratory functions of various groups of adult males studied at same altitude.