关于北京市科技工作者精神压力与心脏损伤的研究  

Study on mental stress and cardiac injury of scientists and technologists in Beijing

作　　者：迟云鹏[1] 张丽军[1] 鲁楠 李艳玮 杨澄周 蒙春夏 黄晓蓉 王森 潘若愚[1,6] 李果 何东方[1] 刘梅颜[1] Chi Yunpeng;Zhang Lijun;Lu Nan;Li Yanwei;Yang Chengzhou;Meng Chunxia;Huang Xiaorong;Wang Sen;Pan Ruoyu;Li Guo;He Dongfang;Liu Meiyan(Department of Psycho-Cardiology,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China;School of Clinical Medicine,He'nan University,Kaifeng He'nan 475001,China;Guihang Guiyang Hospital,Guiyang Guizhou 550000,China;Guangxi Zhuang Autonomous Region Brain Hospital,Liuzhou Guangxi 545005,China;Department of Cardiology,Second Hospital of Shanxi Medical University,Taiyuan Shanxi 030000,China;Department of Internal Medicine,University Hospital,Beijing Information Science and Technology University,Beijing 100192,China)

机构地区：[1]首都医科大学附属北京安贞医院双心医学中心,北京100029 [2]河南大学临床医学院,河南开封475001 [3]通用医疗三〇〇医院,贵州贵阳550006 [4]广西壮族自治区脑科医院,广西柳州545005 [5]山西医科大学第二医院心内科,山西太原030000 [6]北京信息科技大学校医院内科,北京100192

出　　处：《今日科苑》2024年第1期15-25,共11页Modern Science

基　　金：中国科协创新战略研究院科研项目“科技工作者精神压力与双心疾病的远程风险评估与干预”。

摘　　要：为研究北京市科技工作者精神压力与心脏损伤的关系,以155名北京市科技工作者为研究对象,测量相关指标。结果表明,样本群体中心血管疾病占比20.6%,抑郁占比35.9%,焦虑占比24.8%,失眠占比38.8%。在应对精神压力应激时,科技工作者血压、心率均较静息时明显升高,心率变异性指标中SDNN(Standard deviation of NN intervals,RR间期标准差)下降、LF/HF(low frequency/high frequency,低高频比值)升高,反映样本群体在精神压力应激时心脏交感副交感神经失衡。通过远程心电监测,发现科技工作者在居家时存在异常心电活动,包括各类心律失常、心电图ST-T改变(ST为心室肌除极过程,T为心室肌复极过程)等。基于以上结果,建议定期给科技工作者提供心脏心理的检测,必要时提供远程的心电监测,及时发现科技工作者的心脏心理问题,对有必要进行干预的人员,及早提供干预措施,以保障科技工作者的心脏心理健康。To investigate the connection between mental stress and cardiac injury among scientists and technologists in Beijing,this study included 155 scientists and technologists.After evaluating the related indicators,the results showed that there were 20.6%participants with cardiovascular disease(CVD),35.9%with depression,24.8%with anxiety,and 38.8%with insomnia.Under mental stress,the blood pressure and heart rate of the participants increased significantly.Moreover,the value of SDNN(Standard deviation of NN intervals)decreased and the LF/HF(low frequency/high frequency)increased,indicating the imbalance of cardiac sympathetic and parasympathetic nerves.The ECG telemonitoring helped to discover the abnormal cardiac electrical activity,such as cardiac arrhythmia,and ST-T changes(ST:the depolarization of myocardium;T:the repolarization of myocardium).The findings of this study suggest that providing scientists and technologists with psycho-cardiological examinations and ECG telemonitoring is necessary to discover their psycho-cardiological problems.To ensure the psychological and cardiovascular health of scientists and technologists,it is crucial to provide health protection at an early stage.

关 键 词：精神压力 心脏损伤 血压 心率变异性 

分 类 号：R54[医药卫生—心血管疾病]