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核潜艇远航时艇员心功能的变化(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2002年第4期
页码:
327-328
栏目:
临床研究
出版日期:
2002-07-01

文章信息/Info

Title:
Echocardiography study of cardiac function after long sailing in nuclear submarine sailors
作者:
马彩娥; 吕发勤; 宓传刚; 杜 莉; 孙湖山
海军第401医院特检科,山东青岛266071
Author(s):
MA Cai-e; LU。Fa-qin; MI Chuan-gang; DU Li; SUN Hu-shan
401st Navy Hospital,Qingdao,Shandong 266071,China
关键词:
核潜艇艇员; 心室功能; 超声心动描记术
Keywords:
nuclear submarine sailors; ventricular function; echocardiography
分类号:
R841.2
DOI:
-
文献标识码:
A
摘要:
目的 评价核潜艇艇员远航前后心功能的变化。方法 艇员49名,采用美国HP1000型彩色超声诊断仪。于胸骨旁左室长轴切面,M型取样线置于2a区,测量左室舒张末内径(LVd)、左室收缩末内径(LVs)及心电图R-R间期,计算左室舒张末容量(ESD)、收缩末容量(ESV)、射血分值(EF)、小轴缩短率(FS)、心输出量(CO)及每搏量(SV);于心尖四腔切面,将M型取样线置于室间隔左室面边缘与左室房室平面(即二尖瓣环)交界处,分别测量舒张早期房室平面位移值(T)及左房收缩引起的房室平面位移值(A)。结果 本组人员远航后血压升高(P<0.05),心率加快(P<0.01)。EDV和SV值增加(108±16vs98±15,P<0.01;69±10vs63±10,P<0.01),主要收缩功能指标包括EF,FS及CO与远航前无明显差异(P>0.05);房室平面位移值A增大(0.64±0.12vs0.56±0.11,P<0.05),T值明显变小(1.34±0.23vs1.49±0.24,P<0.01)。结论 核潜艇远航可引起艇员血压升高,心率加快以及随之而来的心脏舒张功能减低,但收缩功能无明显变化。
Abstract:
AIM To evaluate the cardiac function of nuclear submarine sailors after long sailing. METHODS 49 nuclear submarine sailors were examined by echocardiography. The parameters that were related to the systolic and diastolic cardiac function respectively from LV diameters and index of the atrial-ventricular plane displacement were measured with HP1000 computed sonography.RESULTS EDV and SV were significantly increased (108±16vs98±15,P<0.01;69±10vs63±10,P<0.01) after long sailing of nuclear submarine. The A index was enlarged (0.64±0.12vs0.56±0.11,P<0.01) and T index was significantly reduced (1.34±0.23vs1. 49±0.24,P<0.01).CONCLUSION The diastolic dysfunction and normal systolic function of nuclear submarine sailors ware found after sailing for thirty-one days in this study.

参考文献/References

[1] 曾伟杰,张东清,荣石禅,等.远航后海员血浆中心钠素、皮质醇和醛固酮水平的变化[J].中华航海医学杂志,1997,4(3):162.

[2] 王 强,许 毅,史步程.潜艇艇员出海训练对心理卫生影响的调查[J].中华航海医学杂志,1997,4(3):138.

[3] 徐建林.远航船员高血压病率及有关因素的调查[J].中华航海医学杂志,1998,5(2):98-99.

[4] 刘凯基.远航船员心身疾病与心理应激的关系[J].中华航海医学杂志,1997,4(2):87.

[5] Harrison MR,Clifton G,Pennell AT,et al. Effect of heart rate on left ventricular diastolic transmitral flow velocity patterns assessed by Doppler echocardiography in normal subjects[J]. Am J Cardiol,1991,67(7):622-627.

[6] Dabestani A, Takenakda K, Allon B,et al. Effects of spontaneous respiration on left ventricular filling assessed by pulsed Doppler echocardiogaphy[J].Am J Cardiol,1988,61 (5):1356-1358.

[7] Alam M,Hodlund C. Assessment by echocardiogram of left ventricluar diastolic function in healthy subjects using the atrial-ventricular plane displacement [J].Am J Cardiol, 1992, 67(15):565-568.

备注/Memo

备注/Memo:
收稿日期：2001-07-26.
更新日期/Last Update: 2002-07-01