首页|基于高清阻抗心动描记术评估长远航对乘员心功能的影响

基于高清阻抗心动描记术评估长远航对乘员心功能的影响

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目的 评估长远航对乘员心功能的影响.方法 选取 2017 年 10 月至 2018 年 4 月某船厂两同型舰艇保养维修期间的 47 例乘员作为研究对象,分为试验组(24 例)和对照组(23 例).入组 5 d内全部受试者完成第一次测试.试验组入组完成测试后参加连续 34 d的航海活动,对照组继续在陆地生活并规律地体育锻炼.试验组结束航海活动后 5 d内全部受试者再次完成测试.按标准Bruse方案进行次极量运动试验,同步使用高清阻抗心动描记术记录并分析心率、每搏输出量(SV)静息时均值,连续记录SV并获取其最大值(SVmax),分析运动中SV的变化,记录运动时间、每搏阈、每搏阈时间.结果 2 组受试者年龄、身高、体重及入组和研究结束时体重比较差异无统计学意义(P>0.05).研究结束时试验组运动时间短于对照组且短于入组时(P<0.01).入组时 2 组受试者每搏阈时间比较差异无统计学意义(P>0.05),研究 结束时试验组每搏阈时间短于入组时,且与对照组比较差异有统计学意义(P<0.01).入组时 2 组受试者静息心率比较差异无统计学意义(P>0.05);研究结束时试验组静息心率快于入组时,且快于对照组,差异均有统计学意义(P<0.05).入组时 2 组受试者静息SV比较差异无统计学意义(P>0.05),研究结束时 2 组间和组内SV比较差异均有统计学意义(P<0.05).入组时 2 组受试者SVmax比较差异无统计学意义(P>0.05),研究结束时 2 组间和组内SVmax比较差异均有统计学意义(P<0.05).结论 长远航降低乘员的有氧运动能力和心功能储备,坚持有氧运动可改善心功能和心功能储备.
Effects of long voyage on crew's cardiac function evaluated by high definition impedance cardiography
Objective To evaluate the effects of long voyage on crew's cardiac function.Methods A total of 47 crew members from a shipyard during the maintenance period of two ships with the same type from October 2017 to April 2018 were selected as research subjects.They were divided into experimental group(n=24)and control group(n=23).The first test was performed in all subjects within 5 days of enrollment.The experimental group participated in a 34-day seagoing voyage after the first test,while the control group continued to live on land and do regular physical exercise.All the subjects were tested again within 5 days after sailing.The submaximal exercise test was conducted according to the standard Bruce protocol.High definition impedance cardiogram was synchronously used to record heart rate and stroke output(SV)at rest.SV was continuously recorded to obtain its maximum value(SVmax)and the change of SV during exercise was analyzed.The exercise time,SV threshold,and SV threshold time were also recorded.Results There were no significant differences in the age,height,or weights at the beginning or end of the study between the two groups(P>0.05).At the end of the study,the exercise time of the experimental group was significantly shorter than that of the control group and the control group was prolonged(P<0.01).There was no significant difference in the SV threshold time,HR at rest,average resting SV,or SVmax between the two groups at enrollment(P>0.05).The SV threshold time at the end of the study was significantly shorter than that at enrollment in the experimental group,and there was a significant difference in the SV threshold time at the end of the study between the two groups(P<0.01).At the end of the study,the resting HR of the experimental group was significantly higher than that at enrollment and that of the control group(P<0.05);there were significant differences in the mean SV at rest and SVmax between groups and between intra-groups(P<0.05).Conclusion Long voyage can reduce the aerobic capacity and cardiac reserve of crew,and the preservation of aerobic exercise can improve the cardiac function and cardiac reserve.

Long voyageImpedance cardiographyCardiac functionTreadmill exercise testing

李虎、刘迎雪、刘玉、黄金燕、曾莉君、李群燕、李小花、肖锋

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524005 广东湛江,南部战区海军第一医院心血管内科

524005 广东湛江,南部战区海军第一医院疾病预防控制科

长远航 阻抗心动描记术 心功能 运动平板试验

全军医学科技青年培育项目

18QNP014

2024

海军医学杂志
海军医学研究所

海军医学杂志

CSTPCD
影响因子:0.518
ISSN:1009-0754
年,卷(期):2024.45(4)
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