高温高湿环境下军事训练致新兵横纹肌溶解及相关脏器损伤的研究
R337.52%R685.5%R821.2; 目的 通过比较不同训练环境对新兵实验室检测指标及心电图的影响,探讨新兵在高温高湿环境下出现横纹肌溶解和相关脏器损伤的可能性.方法 选择两地新兵500名,均为男性,年龄(21.36±2.59)岁,按新兵所在环境分为常规环境组(北京某部,n=250)和高温高湿环境组(海南某部,n=250).进行相同科目训练后4周,采集新兵的一般情况、训练前后血液及尿液学指标、心电图检查相关指标,并进行统计学分析.结果 高温高湿环境组炎症反应、心肌损伤、肌肉损伤、肝损伤、肾损伤的发生率分别为45.76％、3.39％、12.71％、25.42％、12.71％,较常规环境组...
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| Published in | 陆军军医大学学报 Vol. 46; no. 10; pp. 1063 - 1067 |
|---|---|
| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | Chinese |
| Published |
101149 北京,通州离职干部休养所门诊部%100853 北京,解放军医学院解放军总医院第六医学中心心血管病医学部%100034 北京,中国人民解放军第三○五医院心血管内科%264299 山东威海,中国人民解放军第九七○医院心血管内科%735199 甘肃嘉峪关,甘肃省嘉峪关市中医院心血管内科
2024
100853 北京,解放军医学院解放军总医院第六医学中心心血管病医学部 |
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| Abstract | R337.52%R685.5%R821.2; 目的 通过比较不同训练环境对新兵实验室检测指标及心电图的影响,探讨新兵在高温高湿环境下出现横纹肌溶解和相关脏器损伤的可能性.方法 选择两地新兵500名,均为男性,年龄(21.36±2.59)岁,按新兵所在环境分为常规环境组(北京某部,n=250)和高温高湿环境组(海南某部,n=250).进行相同科目训练后4周,采集新兵的一般情况、训练前后血液及尿液学指标、心电图检查相关指标,并进行统计学分析.结果 高温高湿环境组炎症反应、心肌损伤、肌肉损伤、肝损伤、肾损伤的发生率分别为45.76％、3.39％、12.71％、25.42％、12.71％,较常规环境组显著增加(P＜0.05).高温高湿环境组新兵窦性心动过缓、房性早搏、非特异ST-T变化、左室高电压、短PR间期的发生率分别为6.78％、5.93％、8.47％、6.78％、2.54％,显著高于常规环境组(P＜0.05).结论 高温高湿环境下新兵军事训练后更易出现炎性反应、心肌损伤、肌肉损伤、肝损伤、肾损伤以及心电异常. |
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| AbstractList | R337.52%R685.5%R821.2; 目的 通过比较不同训练环境对新兵实验室检测指标及心电图的影响,探讨新兵在高温高湿环境下出现横纹肌溶解和相关脏器损伤的可能性.方法 选择两地新兵500名,均为男性,年龄(21.36±2.59)岁,按新兵所在环境分为常规环境组(北京某部,n=250)和高温高湿环境组(海南某部,n=250).进行相同科目训练后4周,采集新兵的一般情况、训练前后血液及尿液学指标、心电图检查相关指标,并进行统计学分析.结果 高温高湿环境组炎症反应、心肌损伤、肌肉损伤、肝损伤、肾损伤的发生率分别为45.76％、3.39％、12.71％、25.42％、12.71％,较常规环境组显著增加(P＜0.05).高温高湿环境组新兵窦性心动过缓、房性早搏、非特异ST-T变化、左室高电压、短PR间期的发生率分别为6.78％、5.93％、8.47％、6.78％、2.54％,显著高于常规环境组(P＜0.05).结论 高温高湿环境下新兵军事训练后更易出现炎性反应、心肌损伤、肌肉损伤、肝损伤、肾损伤以及心电异常. |
| Abstract_FL | Objective To explore the possibility of rhabdomyolysis and related organ damage in new recruits training in high temperature and high humidity environment by comparing the effects of different training environments on the laboratory indicators and electrocardiogram.Methods A total of 250 new recruits from a unit in Beijing and another 250 ones from a unit in Hainan were recruited and assigned into conventional environment group and high temperature and high humidity environment group,respectively.All of them were male,with an average age of 21.36±2.59 years.Before and in 4 weeks after training in the same subjects,their general information,blood and urine indicators,and electrocardiogram were collected.All data were statistically analyzed.Results The incidences of inflammatory reaction,myocardial injury,muscle injury,liver injury,and kidney injury were 45.76％,3.39％,12.71％,25.42％,and 12.71％,respectively,in the high temperature and high humidity environment group,which were all significantly higher than those in the conventional environment group(P＜0.05).The former group had an incidence rate of 6.78％,5.93％,8.47％,6.78％,and 2.54％,respectively,in sinus bradycardia,atrial premature beats,unspecific ST-T changes,left ventricular hypertension and short PR interval,and all of the rates were higher than those of the conventional environment group(P＜0.05).Conclusion The incidences of inflammatory reaction,myocardial injury,muscle injury,liver injury,kidney injury,and ECG abnormalities are more common in new recruits after military training in high temperature and high humidity environment. |
| Author | 刘赫男 刘冰 焦阳 付振虹 周伯宁 郑小来 张昕 沈建 李影 |
| AuthorAffiliation | 100853 北京,解放军医学院解放军总医院第六医学中心心血管病医学部;101149 北京,通州离职干部休养所门诊部%100853 北京,解放军医学院解放军总医院第六医学中心心血管病医学部%100034 北京,中国人民解放军第三○五医院心血管内科%264299 山东威海,中国人民解放军第九七○医院心血管内科%735199 甘肃嘉峪关,甘肃省嘉峪关市中医院心血管内科 |
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| Author_FL | ZHANG Xin LI Ying LIU Bing ZHOU Boning JIAO Yang FU Zhenhong SHEN Jian ZHENG Xiaolai LIU Henan |
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| Keywords | 高温 rhabdomyolysis 高湿 脏器损伤 军事训练 military training high humidity abnormal electrocardiogram 横纹肌溶解 心电图异常 high temperature organ damage |
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| Snippet | R337.52%R685.5%R821.2; 目的 通过比较不同训练环境对新兵实验室检测指标及心电图的影响,探讨新兵在高温高湿环境下出现横纹肌溶解和相关脏器损伤的可能性.方法... |
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| Title | 高温高湿环境下军事训练致新兵横纹肌溶解及相关脏器损伤的研究 |
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