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首页> 外文期刊>Wilderness & environmental medicine >A comparison of the incidence and understanding of altitude illness between porters and trekkers in the Solu Khumbu Region of Nepal.
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A comparison of the incidence and understanding of altitude illness between porters and trekkers in the Solu Khumbu Region of Nepal.

机译：尼泊尔索卢昆布地区搬运工和徒步旅行者之间海拔疾病的发生率和认识的比较。

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OBJECTIVE: Altitude illness can occur in anyone who ascends to high altitude. Better understanding of altitude illness is associated with a lower incidence of acute mountain sickness (AMS). The purpose of this study is to compare, for the first time, the incidence and understanding of altitude illness between foreign trekkers and indigenous porters in Nepal. METHODS: Interviews and questionnaires were completed at the International Porter Protection Group Rescue Post at Machermo (4470 m). Participants completed the Lake Louise acute mountain sickness self-assessment questionnaire. They were also asked about their actions in response to high altitude illness scenarios as well as their perception of the vulnerability of porters vs trekkers to altitude illness. Ascent profile, age, gender, ethnic origin, and altitude of home residence were also obtained. RESULTS: Trekkers (n=131) had a significantly higher incidence of AMS (21% vs 8%) than porters (n=92; P < .02). Lowland porters (whose home villages were below 3050 m, n=61) had a numerically higher, though not significantly different, incidence of AMS (10% vs 3%) compared to highland porters (n=31). The majority of trekkers and porters recognized the symptoms of altitude illness and the most appropriate action to be taken. Despite the lower incidence of AMS in porters, around half felt that they were at greater risk than trekkers. CONCLUSIONS: Porters had a lower incidence of AMS, which may be attributable to repeated ascents through the trekking season, or differences in reporting symptoms. Both trekkers and porters demonstrated appropriate knowledge of actions to be taken in response to altitude illness.
机译：目的：海拔高的人都可能发生高原疾病。更好地了解高原病与急性高山病（AMS）的发生率降低有关。这项研究的目的是第一次比较尼泊尔的外国徒步旅行者与本地搬运工之间的高原反应。方法：在马切尔莫（4470 m）的国际波特保护小组营救站完成采访和问卷调查。参与者完成了路易斯湖急性山病自我评估问卷。他们还被问到他们在应对高原疾病时所采取的行动，以及对搬运工与徒步旅行者在高原疾病中的脆弱性的看法。还获得了上升曲线，年龄，性别，种族出身和居所高度。结果：徒步旅行者（n = 131）的AMS发生率（21％比8％）明显高于搬运工（n = 92; P <.02）。与高地搬运工（n = 31）相比，低地搬运工（其家乡在3050 m以下，n = 61）的AMS发生率在数值上更高，尽管没有显着差异（10％比3％）。大多数的徒步旅行者和搬运工都认识到高原病的症状，并已采取最适当的措施。尽管搬运工中AMS的发病率较低，但仍有大约一半的人认为他们比徒步旅行者的危险更大。结论：搬运工的AMS发生率较低，这可能是由于在整个徒步旅行季节反复上升或报告症状有所不同。徒步旅行者和搬运工都表现出对应对高原病应采取的行动的适当知识。

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