某高海拔训练基地参训官兵高强度运动后心电图评分变化及其与症状自评量表评分的相关性分析  

ECG Score Changes of PLA Officers and Soldiers after a High-intensity Exercise in a High Altitude Training Base and Its Correlation Analysis with SCL-90 Rating Scale Scores

作　　者：吴学宁[1,2] 张招[2] 王江涛[2] 崔玉娟[2] 张刚[2] 崔英凯[2] 曹海涛[2] 曹雪滨[2] 

机构地区：[1]河北大学中医学院,河北保定071000 [2]解放军252医院心血管中心,河北保定071000

出　　处：《解放军医药杂志》2016年第1期15-18,共4页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

基　　金：军队医院临床重大高新技术课题(2010gxjs011);全军医学科技"十二五"科研项目(BWSIIJ058);全军"十二五"课题(CBJ13J006)

摘　　要：目的分析某高海拔训练基地参训官兵高强度运动后心电图评分变化及其与症状自评量表(SCL-90)评分的相关性,探索高强度运动导致心脏损伤的早期预警和预防措施。方法对某部高海拔训练基地参训官兵77名通过SCL-90进行心理测评,记录运动前、运动后即刻和运动后24 h的心电图及不适症状,分析运动前后心电图评分的变化,SCL-90评分与心电图和不适症状评分的相关性,评价不同兵龄、不同心理状态对心电图评分的影响。结果SCL-90评分与运动前、运动后即刻和运动后24 h心电图评分无明显相关性(P>0.05),与不适症状评分成正相关(P<0.05)。运动后即刻心电图评分高于运动前和运动后24 h(P<0.05)。运动后24 h SCL-90总均分≤1.44分的官兵心电图评分显著高于SCL-90总均分>1.44分的官兵(P<0.05)。不同兵龄官兵运动前、运动后即刻和运动后24 h心电图评分比较差异无统计学意义(P>0.05)。结论高强度运动对参训官兵心电图变化有影响,SCL-90评分高的官兵运动后更容易产生不适症状,因此在高强度运动前对官兵进行心理疏导很有意义。Objective To analyze the electrocardiogram （ECG） score changes of the PLA officers and soldiers after a high-intensity exercise in a high altitude training base and its correlation analysis with symptom checklist-90 （ SCL- 90） rating scale scores so as to explore the early warning and protective measures of cardiac injury induced by exhausting exercises. Methods The psychological assessment was performed for 77 officers and soldiers in a high altitude training base using SCL-90 rating scale, and the ECG results and the uncomfortable symptoms were recorded before the exercise, immediately after the exercise and 24 h after the exercise. The changes of the ECG scores before and after the exercise and correlation analysis among the scores of the SCL-90 rating scale, the scores of ECG and uncomfortable symptoms were analyzed. The effects of officers and soldiers with different military service times and psychological status on the ECG scores were evaluated. Results The scores of SCL-90 rating scale had no significant correlation with the ECG scores before the exercise, after the exercise immediately and 24 h after the exercise （P 〉 0. 05）, but the scores had significant correlation with the scores of the uncomfortable symptoms （P 〈 0. 05 ）. The ECG score immediately after the exercise was significantly higher than those before the exercise and 24 h after the exercise （P 〈 0. 05）. The ECG scores of the officers and soldiers with the total average score of the SCL-90 rating scale score being were less than or equal to 1.44, signifi- cantly higher than that of the officers and soldiers with the total average score of the SCL-90 rating scale score being more than 1.44 （P 〈 0.05）. There were no significant differences in ECG scores before the exercise, immediately after the exercise and 24 h after the exercise of the PLA officers and soldiers with different military service times （P 〉 0.05）. Conclusion The high-intensity exercise can influence the ECG changes. The officers and soldiers

关 键 词：高强度运动 心脏损伤 心电图 SCL-90量表 

分 类 号：R823[医药卫生—临床医学]