Physiology Laboratory, Medical School, Universidad Privada Antenor Orrego, Trujillo, La Libertad, Peru.
Hospital Florencia de Mora-ESSALUD, Trujillo, Peru.
F1000Res. 2023 Sep 26;12:885. doi: 10.12688/f1000research.134567.2. eCollection 2023.
: Given that arterial blood gas is affected by altitude and ethnicity, establishing reliable reference standards for these values requires analysis of arterial blood at different elevations and locations. Our objective was to measure the arterial blood gases of healthy young volunteers in Huamachuco, Peru, at 3,164 m above sea level. This is likely the first study of arterial blood gas analysis of healthy Northern Peruvians living at high altitude. : Healthy residents of Huamachuco were recruited for this cross-sectional convenience sample study and arterial blood was drawn by standard procedures. People with obesity, diabetes, high levels of physical activity and a history of using selected substances were excluded. The samples were analyzed on-site in less than 15 minutes using a Stat Profile Prime CCS analyzer (Nova Biomedical). : Data from 46 participants (17 male, 29 female) were included in the study. The median values for arterial blood pH, oxygen, carbon dioxide, ionized calcium, glucose, lactate, hematocrit, oxygen saturation, and bicarbonate were 7.42, 9.3 kPa (70 mmHg), 4.5 kPa (33.5 mmHg), 1.04 mM, 5.19 mM, 1.8 mM, 50 %, 94 %, and 21.6 mM, respectively. We also found a lower prevalence of diabetes among highlanders compared to the Peruvian population. : The results determined here were comparable to other results determined at different altitudes in the Americas, although arterial blood oxygen was slightly higher than predicted. These results indicate that Northern Peruvians have an Andean-style adaptation to high altitude.
: 由于动脉血气受到海拔和种族的影响,因此需要在不同海拔和位置下分析动脉血,才能建立这些数值的可靠参考标准。我们的目的是测量秘鲁华马楚科海拔 3164 米处健康年轻志愿者的动脉血气。这可能是第一项对生活在高海拔地区的秘鲁北部健康人群的动脉血气分析研究。 : 本横断面便利抽样研究招募了华马楚科的健康居民,并通过标准程序抽取动脉血。排除肥胖、糖尿病、体力活动水平高以及有使用特定物质史的人群。使用 Nova Biomedical 公司的 Stat Profile Prime CCS 分析仪在现场不到 15 分钟内对样本进行分析。 : 本研究共纳入 46 名参与者(17 名男性,29 名女性)的数据。动脉血 pH 值、氧分压、二氧化碳分压、离子钙、血糖、乳酸、红细胞压积、氧饱和度和碳酸氢盐的中位数分别为 7.42、9.3 kPa(70 mmHg)、4.5 kPa(33.5 mmHg)、1.04 mM、5.19 mM、1.8 mM、50%、94%和 21.6 mM。我们还发现与秘鲁人群相比,高原居民的糖尿病患病率较低。 : 这里确定的结果与在美洲不同海拔高度确定的其他结果相当,尽管动脉血氧分压略高于预测值。这些结果表明,秘鲁北部居民对高海拔有安第斯式的适应。