沙漠干热环境下骨骼肌损伤诊疗质量控制研究

赵娜 ,  惠华强

兰州大学学报(医学版) ›› 2026, Vol. 52 ›› Issue (3) : 74 -82.

PDF (1683KB)
兰州大学学报(医学版) ›› 2026, Vol. 52 ›› Issue (3) : 74 -82. DOI: 10.13885/j.issn.2097-681X.T20260012
公共卫生

沙漠干热环境下骨骼肌损伤诊疗质量控制研究

作者信息 +

Research on quality control of diagnosis and treatment of skeletal muscle injury in hot and dry desert environment

Author information +
文章历史 +
PDF (1722K)

摘要

沙漠干热环境改变骨骼肌损伤的病理生理过程,增加诊疗难度与并发症风险。本文通过检索知网、维普、 PubMed 及 Web of Science数据库2004年1月—2026年2月干热环境与骨骼肌损伤诊疗相关文献,系统分析沙漠干热环境下骨骼肌损伤的独特机制、临床表现与治疗挑战,明确质量控制目标与原则,以结构质量、过程质量及结果质量为核心,结合先进技术,构建覆盖预防预警、现场识别急救、院内评估诊断、治疗干预、康复随访全流程的质量控制体系,以期为极端环境下骨骼肌损伤的安全高效诊疗提供参考。

Abstract

The hot and dry desert environment alters the pathophysiological process of skeletal muscle injury, increasing the difficulty of diagnosis and treatment as well as the risk of complications.This article retrieved relevant literatures on the diagnosis and treatment of skeletal muscle injury in the dry and hot environment from January 2004 to February 2026 in the databases of CNKI,VIP,PubMed and Web of Science,systemati- cally analyzed the unique mechanism,clinical manifestations and challenges of skeletal muscle injury,and clarified the goals and principles of quality control.Taking structural quality,process quality and outcome quality as the core dimensions,and combining advanced technologies,a quality control system covering the entire process of prevention and early warning,on-site identification and first aid,in-hospital assessment and diagnosis,treatment and intervention,rehabilitation and follow-up was constructed,with the aim of providing a reference for the safe and efficient diagnosis and treatment of skeletal muscle injuries in extreme environ- ments.

关键词

沙漠干热环境 / 骨骼肌损伤 / 质量控制 / 诊疗

Key words

hot and dry desert environment / skeletal muscle injury / quality control / diagnosis and treatment

引用本文

引用格式 ▾
赵娜,惠华强. 沙漠干热环境下骨骼肌损伤诊疗质量控制研究[J]. 兰州大学学报(医学版), 2026, 52(3): 74-82 DOI:10.13885/j.issn.2097-681X.T20260012

登录浏览全文

4963

注册一个新账户 忘记密码

参考文献

[1]

中国气象局气候变化中心. 《中国气候变化蓝皮书 (2024)》发布[J]. 节能与环保, 2024,(7):1.

[2]

武堂晓. 氨基酸维生素对干热环境大鼠运动骨骼肌损伤保护作用实验研究[D]. 乌鲁木齐: 新疆医科大学, 2024:3.

[3]

张东辉, 薛晓玉, 谢志, . 姜黄素预处理对干热环境大鼠骨骼肌组织学及超微结构变化的影响[J]. 实验动物科学, 2018, 35(3):1-6.

[4]

武堂晓, 杨曦, 尹紫依, . 沙漠干热环境下大鼠运动骨骼肌损伤评价指标的篮选[J]. 陆军军医大学学报, 2024, 46(8):894-900.

[5]

何龙平, 钟林翠, 余永春, . 热习服对热射病康复后军人的热耐力及凝血功能的影响[J]. 血栓与止血学, 2023, 29(3):111-116.

[6]

曹德康, 王欣. 军事训练伤中热射病的特点与预防策略[J]. 武警医学, 2019, 30(6):461-464,468.

[7]

YEN C L, PETRIE M A, SUNEJA M, et al. Neuromuscu- lar and gene signaling responses to passive whole-body heat stress in young adults[J]. Journal of thermal biol- ogy, 2023, 118: 103730.

[8]

DUNN R A, LUK H Y, APPELL C R, et al. Eccentric muscle-damaging exercise in the heat lowers cellular stress prior to and immediately following future exer- tional heat exposure[J]. Cell stress and chaperones, 2024, 29(3):472-482.

[9]

BERGERON M F, NINDL B C, DEUSTER P A, et al. Consortium for health and military performance and American college of sports medicine consensus paper on extreme conditioning programs in military personnel[J]. Current sports medicine reports, 2011, 10(6):383-389.

[10]

RAV-ACHA M, HELED Y, MORAN D S. Cold injuries among Israeli soldiers operating and training in a semi- arid zone:a 10-year review[J]. Military medicine, 2004, 169(9):702-706.

[11]

KOMA R, MATSUMOTO T, YAMAZAKI A, et al. Data on mitochondrial respiratory function in skeletal muscle of adult male mice in response to 3-weeks heat stress[J]. Data in brief, 2024, 53:110091.

[12]

YU L K, TIAN D, SU Z S, et al. Gallic acid alleviates exercise-induced muscle damage by inhibiting mito- chondrial oxidative stress and ferroptosis[J]. Journal of translational medicine, 2025, 23(1):30.

[13]

WANG M Y, YANG J M, WU Y, et al. Curcumin- activated Wnt5a pathway mediates Ca2+ channel open- ing to affect myoblast differentiation and skeletal muscle regeneration[J]. Journal of Cachexia,sarcopenia and muscle, 2024, 15(5):1834-1849.

[14]

HOU Z Q, WANG Z F, ZHANG J, et al. Effects of can- nabidiol on AMPKα2/HIF-1α/BNIP3/NIX signaling pathway in skeletal muscle injury[J]. Frontiers in phar- macology, 2024, 15:1450513.

[15]

WANG S, HUANG S J, XU X R, et al. Effects of radial extracorporeal shock wave with different frequencies on acute skeletal muscle injury in rabbits[J]. Scientific re- ports, 2024, 14(1):21276.

[16]

LIPMAN G S, GAUDIO F G, EIFLING K P, et al. Wil- derness medical society clinical practice guidelines for the prevention and treatment of heat illness : 2019 up- date[J]. Wilderness and environmental medicine, 2019, 30(4S):S33-S46.

[17]

SHEPHARD R J. American college of sports medicine position stand:exercise and fluid replacement[J]. Year-book of sports medicine, 2007, 2007:254-255.

[18]

BOUCHAMA A, ABUYASSIN B, LEHE C, et al. Clas- sic and exertional heatstroke[J]. Nature reviews disease primers, 2022, 8(1):8.

[19]

PÉRIARD J D, RACINAIS S, SAWKA M N. Adapta- tions and mechanisms of human heat acclimation : applications for competitive athletes and sports[J]. Scandinavian journal of medicine & science in sports, 2015, 25(S1):20-38.

[20]

朱子豪, 葛华, 李雪, . 沙漠环境下石油工人职业紧张水平及肌肉骨骼损伤状况调查[J]. 现代预防医学, 2017, 44(12):2135-2137,2153.

[21]

OH R C, BURY D C, MCCLURE C J. Exertional rhabdomyolysis:an analysis of 321 hospitalised US military service members and its relationship with heat illness[J]. BMJ military health, 2024, 170(4):303-307.

[22]

GROVER K M, SRIPATHI N. Rhabdomyolysis[J]. Mus- cle & nerve, 2026, 73(4):527-533.

[23]

张帅. 高温环境下人体热应变反应及生理热安全研究[D]. 天津: 天津大学,2022:6.

[24]

NI W, NASSIKAS N J, FIFFER M, et al. Associations of personal hourly exposures to air temperature and pollu- tion with resting heart rate in chronic obstructive pulmo- nary disease[J]. Environmental science technology, 2024, 58(41):18145-18154.

[25]

CUDDY J S, SLIVKA D R, HAILES W S, et al. Heart rate variability during high heat exposure:a comparison between dry and humid heat[J]. Wilderness & environ- mental medicine, 2018, 29(3):311-319.

[26]

KJELLSTROM T, HOLMER I, LEMKE B. Workplace heat stress,health and productivity-an increasing chal- lenge for low and middle-income countries during cli- mate change[J]. Global health action, 2009, 2 (1): 2047.

[27]

刘树元, 宋景春, 毛汉丁, . 中国热射病诊断与治疗专家共识[J]. 解放军医学杂志, 2019, 44(3):181-196.

[28]

徐丰, 霍洪峰. 腘绳肌损伤因素及评估指标体系的构建[J]. 廊坊师范学院学报(自然科学版), 2021, 21(1):94-100.

[29]

SAFARI S, NAJAFI I, AGHILI S H, et al. Urine alka- linization in preventing rhabdomyolysis induced acute kidney injury and need for dialysis:a systematic review and meta-analysis[Z]. 2024.

[30]

NORTON C. How to use PRICE treatment for soft tis- sue injuries[J]. Nursing standard, 2016, 30(52):48-52.

[31]

ZHU S Y, WANG Z, LIANG Q, et al. Chinese guide- lines for the rehabilitation treatment of knee osteoarthri- tis:an CSPMR evidence-based practice guideline[J]. Journal of evidence-based medicine, 2023, 16(3):376-393.

[32]

杨爱益. PDCA 循环在医院质量管理中的运用研究[D]. 南昌: 南昌大学,2016:5.

[33]

SHRIVASTAVA S, TRUNG T Q, LEE N E. Recent prog- ress,challenges,and prospects of fully integrated mo-bile and wearable point-of-care testing systems for self- testing[J]. Chemical society reviews, 2020, 49 (6): 1812-1866.

[34]

HAN W, LI ND Y, CHEN RD C, et al. 5G key tec- hnologies for helicopter aviation medical rescue[J]. Journal of medical internet research, 2024, 26:e50355.

[35]

宋景春, 宋青, 张伟, . 中国热射病诊断与治疗指南 (2025版)[J]. 解放军医学杂志, 2025, 50(4):367-386.

基金资助

新疆维吾尔自治区区域协同创新专项资助项目(2022E02121)

AI Summary AI Mindmap
PDF (1683KB)

143

访问

0

被引

详细

导航
相关文章

AI思维导图

/