Qinghai High Altitude
Medical Research Academy is only a specialized high altitude
medicine agency at present in china, studying high altitude
basic and clinical medical science. It was founded in October
of 1978; the former was Qinghai High Altitude Heart Disease
Institute, in October of 1984, renamed again as Qinghai High
Altitude Medical Research Institute. In May of 2002, the institute
was nominated by Qinghai Public Health Bureau as Qinghai High
Altitude Medical Research Academy with "the program of
incorporating the high altitude medical resource in Qinghai
province". In 1987, the first high altitude medical and
physiological symposium was held in Xining, Qinghai, and the
high altitude medical branch of Chinese Medical Association
was established. A national journal named "Journal of High
Altitude Medicine" was founded and published. The journal
will own a good base of high altitude medicine for future.
Among 280 employees in the whole, 250 medical members, 1 academician
of Chinese Engineering Academy, 2 as the special engaged professors
of ministry of public health, and 30 professors and vice professors.
After the reformation of health system in
Qinghai in April of 2000, the academy was consisted of the
medical research and clinical department, the heart and thoracic
surgery, cardiovascular medicine, high altitude disease, hypertension,
anesthesia, emergency center and medical technical department
in the clinical section, the medical research section is a
laboratory center which has been nominated as a key laboratory
of high altitude diseases by Health Ministry. All research
subjects include the respiratory and cardiovascular physiology,
epidemiology, molecular biology, biochemistry, pharmacology
and phytochemistry etc.
The academy owns many modernized equipments,
such as digital image and vascular angiography, SPECT, helix
CT, color Doppler for heart, automatic biochemistry assay
instrument, 24 hrs electrocardiographic monitoring appearance,
cardiopulmonary function monitor system, high performance
liquid chromatography (HPLC) and the greatest hypo- and hyper-baric
oxygen chamber in China etc. These advanced equipments are
playing a more and more important role in the basic research,
health protection and cardiovascular disease cure and prevention
of high altitude medicine.
During the past 20 years, Qinghai High Altitude
Medical Research Academy has been developing constantly. It
is in charge of dozens of key subjects of medical scientific
research, carrying out five synthetic surveys of high altitude
medicine and taking part in the Cocoxili science expedition
organized by the national science committee. These high altitude
medical science research has acquired greater results, there
were 30 scientific achievements to be own in country, ministry
and province level, 50 in bureau level under the effort of
whole scientific and technologic workers in this academy.
Meanwhile more than 160 medical articles have published in
national core journals, more than 20 articles award the outstanding
prize. Some scientific achievements have reached and exceeded
the international advance level and interested the attention
of expert professors over world. And prof. Wu tianyi has held
a position of academician of Chinese Engineering Academy and
the director of International Society of High Altitude Medicine.
Medical science exchange and cooperation
Qinghai High Altitude Medical Research Academy pays great
attention to strengthen the exchange and cooperation between
the international as well as over country. Now, in the world,
we have established the medical scientific exchange and research
cooperation with many countries, such as U.S.A., Japan, Russia,
Kirghiz Republic, Peru, Australia, Poland, Bolivia, etc. In
china, the academy established many long term cooperation
relations with famous Chinese Academy of Science, Shanghai
Life Science Center (former Physiological Institute of Shanghai),
Basic science Institute of Medical Science Academy, Cardiovascular
Disease Research Institute, the Third and Fourth Institute
of Military Medical Science Academy of China, the Third Military
Medical University, High Altitude Disease Institute of Xingjiang
Military Command, Bejing Fuwai Hospital, Bejing Anzhen Hospital
etc. The greatest interest was stimulated to professors and
experts in whole world by the research results of Qinghai
High Altitude Medical Research Academy, the unique plateau
geographic condition and population; the leading position
of this academy in the high altitude medical circle has been
established. At present, there are two international high
altitude medical collaborative projects to being performed
between two government: (a) " sensitivity of hypoxic
ventilation on population at high altitude" and "study
of sleep respiratory statues at high altitude", which
are cooperated with the National Medical Physiological Institute
of Poland. (b) "Mechanism of hypoxic adaptation in high
altitude native animals" which is cooperated with Shinshu
University and Fukui Medical University of Japan. These subjects
are of a stage of results.
Main medical researches and results
Qinghai-Tibetan Plateau is the greatest nature laboratory
of high altitude medical research in whole world. Specially,
having the native population (Tibetans) and animals. They
have been a high altitude adapted group with special gene
by geographic and reproductive isolate factor and long term
nature selection.
(a) Adaptation of high altitude hypoxia: The mechanism of
high altitude hypoxic adaptation was studied from general
organs and tissues to cells and molecular level by the comparison
between Han immigrants and native Tibetans as well as animals.
The results, which have an important affects in international
medicine, demonstrated that the Tibetans have the best adaptation
to high altitude hypoxia in plateau population in the world.
The adaptation is greatly formed by histological changes i.e.
the oxygen utilization is more efficiency and complete.
(b) High altitude disease studies: The pathogenesis and the
changes of acute mountain sickness show generally clear understand
through the national Cocoxili science expedition, Sino-Japanese
unite science survey in Mt.Anemaqin and high altitude pulmonary
edema study, and a number of mountain medical survey. The
systemic study of high altitude polycythemia has finished
during "9th-five year plan" and the results filled
the gap in this research field in our country. On the basis
of a wealth of data of mountain sickness research in native
and immigrant residents as well as builders at high altitude,
the nomenclature, the classification and the diagnostic criteria
of mountain sickness have been certified in china. The certification
makes for the health protection and treatment of mountain
sickness under high altitude hypoxic condition. And it will
result in a higher academic and applying value.
(c) Prevention and therapy of mountain sickness: Firstly,
for prevent the incidence of mountain sickness, with the pathogenesis
pattern was comprehended by us, we also do the health guidance
for the high altitude population. Secondly, no efficient treatment
for high altitude disease in the world now, we are developing
the comprehensive study to prevent and treat this disease
by Chinese traditional medicine and Tibetan medicine, specially
the Rhodiola, which has an age-old applying history in Tibet,
has been developed into a systemic study including phytochemistry,
pharmacology and toxicology up to now in our academy.
(d) Clinical study of cardiovascular diseases at high altitude:
It is an important studying aspects for prevention and treatment
of high altitude cardiovascular disease, because that the
disease has a significant diagnostic and therapeutic feature,
which is difference to the sea level, under the high altitude
hypoxic condition. We have own generally the medical knowledge
of high altitude cardiovascular diseases, such as hypertension,
congenital heart disease, cor pulmonale and other kinds of
heart disease at high altitude, including research of epidemiology,
pathogenesis, pathology and clinical diagnosis-treatment using
to guide medical care practice
(e) In these two years, the academy is developing more and
more medical work in order to open the west and build the
Qinghai-tibetan railway line. Such as for preventing mountain
sickness and advancing the plateau builders' health level,
we have held the training classes about high altitude medicine
and are acquiring a good economical and social effects; researched
and provided the health care drink and emergency medical boxes,
and sent medical serve to the railway line for therapy and
guidance on-the-spot. All the serves were confirmed to be
good value by railway ministry. In addition, many experts
and professors write a number of popular science books and
articles for high altitude builders and medical workers.
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