In order to study the physiological screening indexes for locomotive trainman on plateau railway and confirm the standard appraisal value of physiological indexes, 500 locomotive drivers at Xige section of Xining Railway Branch Bureau were selected for appraisal experiment of indexes system. Results showed that the overall qualification rate of locomotive drivers at Xige section was 31.6%, which was influenced relatively great by age and altitude difference of train operation line. Study confirmed that the relatively sensitive physiological compensation indexes of plateau hypoxia included packed cell volume, leukocyte count, platelet count, saturation of oxygen in blood, blood sugar, glutamic oxalacetictransaminase, total bilirubin, bilirubin direct,urinary protein and urinary erythrocytic. These indexes could be used as physiological adaptability screening index. The sequence of physiologic indexes inducing checkup disqualification because of predicted inadaptable for plateau steering was heart function>liver function>saturation of oxygen in blood>pulmonary function >blood pressure>blood sugar> holding power>routine urine test>routine blood>kidney function. The paper presented that the selection of locomotive trainman on Qinghai-Tibet Railway should adopt two grade structural model including fundamental checkup and plateau adaptability checkup. The paper also established medical standard for checkup appraisal of plateau locomotive trainman, testing method and judging standard of qualification.
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