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|本期目录/Table of Contents|

康复疗养中高压氧疗法对高原官兵心率变异性频域指标的影响

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2015年第1期
页码:
55-057
栏目:
临床研究
出版日期:
2014-09-25

文章信息/Info

Title:
Effects of hyperbaric oxygen therapy on heart rate variability in military personnel on a plateau
作者:
徐 莉1; 李小涛2; 张昆龙3; 岳增文1; 孙 静2; 张 舒2; 刘英峰1
(1.兰州军区临潼疗养院医务部， 陕西 临潼 710600；
2.第四军医大学航空航天医学院航空航天 生物动力学教研室, 陕西 西安 710032；
3.海军榆林基地医院，海南 三亚 572000)
Author(s):
XU Li1;  LI Xiao-tao2;  ZHANG Kun-long3;  YUE Zeng-wen1;  SUN Jing2;  ZHANG Shu2;  LIU Ying-feng1
(1.Department of Medical Affairs, Lintong Sanatorium of Lanzhou Military Area Command, Xi’an 710600, Shaanxi, China;
2.Department of Aerospace Biodynamics, Fourth Military Medicine University, Xi’an 710032, Shaanxi, China;
3.Hospital of Naval Yulin Base, Sanya 57200, Hainan, China)
关键词:
疗养康复; 高压氧疗法; 高原; 心率变异性
Keywords:
rehabilitation and recuperation;  hyperbaric oxygen therapy;  plateau;  heart rate variability
分类号:
R459.6
DOI:
-
文献标识码:
A
摘要:
目的:观察康复疗养中高压氧疗法对高原官兵心率变异性（HRV)频域指标的影响。方法： 将刚下高原赴临潼疗养院的31名高原官兵按班组分为高压氧疗组和常规疗养组，分别于入院1 d、疗养15 d及疗养30 d时检测HRV的各项频域指标并进行统计分析。结果： 常规疗养对高原官兵HRV的影响不大，虽然疗养15 d与入院相比LF、LFn、HFn有显著变化（P<0.05），但疗养30 d与疗养初期均无显著差异；在高压氧疗组中，疗养人员的心率、HF、LF/HF和TP等指标在疗养30 d过程中的变化均无显著意义。HFn在疗养15 d时较疗养前显著降低（P<0.05），随后有所升高，30 d时与15 d无显著差异，但较疗养初期依旧处于降低趋势。结论： 疗养期间15 d的高压氧疗法可显著改善刚下高原官兵的HRV指标。
Abstract:
AIM:To observe the effects of hyperbaric oxygen therapy on the heart rate variability in military personnel on the plateau. METHODS: Thirty-one military personnel coming down from the plateau to Lintong Sanatorium were divided into two groups: hyperbaric oxygen therapy group with normal recuperative+hyperbaric oxygen therapy and the normal recuperative group. Heart rate variability was detected at days 1, 15 and 30 and statistical analysis was conducted. RESULTS: No significant difference was observed in the heart rate variability in the normal recuperative group. Although a significant difference was observed in low frequency component (LF), low frequency component in normalized unit (LFn) and high frequency component in normalized unit (HFn) at the 15th day compared with those at the 1st day (P<0.05), no significant difference was found by the 30th day. No significant difference was found in heart rate, high frequency component (HF), LF/HF and total power spectral area (TP), LF, LFn and HFn at the 15th day compared with those at the 1st day (P<0.05), no significant difference was found by the 30th day. No significant difference was found in heart rate, HF, LF/HF and TP during the 30 days in the hyperbaric oxygen therapy group. HFn decreased significantly at the 15th day compared with that at the 1st day (P<0.05) and then rose. But no significant changes were seen between the 15th and the 30th day. CONCLUSION: Fifteen-day hyperbaric oxygen therapy can markedly improve heart rate variability in military personnel recently coming down from the plateau.

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备注/Memo

备注/Memo:
收稿日期：2014-03-03.
基金项目：全军后勤科研项目资金资助(CLZ12L013)
作者简介：徐莉，主任医师，硕士Email:xuli9289@sohu.com
更新日期/Last Update: 2015-01-20