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|本期目录/Table of Contents|

海军水面舰艇编队环球航行有饮酒史者24小时动态心电图的变化

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2014年第1期
页码:
70-73
栏目:
临床研究
出版日期:
2013-12-02

文章信息/Info

Title:
Analysis of Holter changes in subjects who consume alcohol in PLA navy global visiting task group
作者:
张永生1楚立云1辛苏宁1相龙华2夏守文3于克峰3
(1.解放军青岛第401医院老年科,山东 青岛 266071;2.海军青岛基地后勤部;山东 青岛 266011;3.海军37041部队13分队,山东 青岛 266071)
Author(s):
ZHANG Yong-sheng CHU Li-yun XIN SU-ning XIANG Long-hua XIA Shou-wen YU Ke-feng
(Department of Gerontology, PLA 401 Hospital, Qingdao 266071, Shandong, China)
关键词:
航行环球饮酒自主神经
Keywords:
voyage global alcohol autonomic nervous system
分类号:
R540.41
DOI:
-
文献标识码:
A
摘要:
目的:观察海军水面舰艇编队环球航行有饮酒史者24小时动态心电图的变化。方法:对81名参加环球航行人员根据过去每日饮酒情况分为不饮酒、饮酒<50 g/d和饮酒≥50 g/d3组,分别于航前第5~15天、航行第65~75天、航行第115~125天行动态心电图检查,进行窦性心律、过早搏动、ST段、QT间期离散度和心率变异性的时域、频域和非线性指标变化的分析。结果:与不饮酒组比较,饮酒组的平均心率加快、最高心率减慢、最低心律加快、停搏次数增多、最长停搏时间延长、过早搏动增多、MV5导联ST段明显压低、压低持续时间延长、QTd、QTc、QTcd明显增高、SDNN、SDANN、SDNN index、RMSSD、NN50、PNN50、三角指数、VLF、HLF、VAI及VLI明显降低(均P<0.01);每日饮酒越多,上述变化越明显(P<0.01);航行时间越长,上述变化越明显(P<0.01)。结论:海军水面舰艇编队环球航行有饮酒史者的支配心脏的自主神经功能损害可能较非饮酒者更重。
Abstract:
AIM:To analyze the Holter changes in subjects who consume alcohol in the Chinese PLA navy global visiting task group. METHODS: We divided 77 men and four women in the PLA navy global visiting task group into non-alcohol consumers (<50g within 24h) and alcohol consumers of (≥50g within 24h). Holter changes were analyzed 5-15 days before voyage and 65-75 days and 115-125 days after voyage. RESULTS: Compared with those in the group of non-alcohol consumers, the average heart rate and the lowest heart beat were faster, the highest heart beat was slower, the sinus node dysfunction and premature contraction were more frequent, the ST segment was lower, QTd, QTc and QTcd increased and SDNN, SDANN, SDNN indexes, RMSSD, NN50, PNN50, triangular index, VLF, HLF, VAI and VLI were lower in the group of alcohol consumers (P<0.01). The greater the daily consumption of alcohol, the greater were the above changes (P<0.01). CONCLUSION: These findings suggest that in PLA navy global visiting task group, the autonomic nervous system dysfunction in subjects who consume alcohol may be more serious than in nondrinkers.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期:2013-05-15.作者简介:张永生,副主任医师,博士 Email:zhangyongsheng524@126.com
更新日期/Last Update: 2014-01-20