痰湿质与平和质人群心肺储备功能研究  

Study on cardiopulmonary reserve function between people with phlegm-dampness and peaceful constitutions

作　　者：刘杰峰 吴晓彧 王扬 张义雪 程蕾 庞剑 Liu Jiefeng;Wu Xiaoyu;Wang Yang;Zhang Yixue;Cheng Lei;Pang Jian(Department of Respiratory and Critical Care Medicine,Northern Theater Air Force Hospital,Shenyang 110042,China)

机构地区：[1]北部战区空军医院呼吸与危重症医学科,沈阳110042

出　　处：《中国运动医学杂志》2024年第12期964-968,共5页Chinese Journal of Sports Medicine

基　　金：空军后勤科研项目(CKJ20J023)。

摘　　要：目的:比较分析痰湿质、平和质人群心肺储备功能的差异。方法:选取参加北部战区空军医院体检的人员102例,根据中医体质判定分为痰湿质组(n=50)和平和质组(n=52)。进行运动心肺功能测试(cardiopulmonary exercise testing,CPET),比较两组CPET监测结果中的峰值运动负荷、峰值代谢当量、峰值公斤摄氧量、峰值氧脉搏等心肺储备功能参数。结果:两组受试者在年龄、烟酒史方面差异无统计学意义(P>0.05)。痰湿质组在体重指数、颈围、心率储备、峰值通气量方面高于平和质组;在峰值运动负荷、峰值代谢当量、峰值心率、峰值氧脉搏、峰值公斤摄氧量方面低于平和质组,差异存在统计学意义(P<0.05)。结论:痰湿质人群较平和质人群的心肺储备功能低,应注重早期体质干预,积极引导健康生活方式。Objective To compare and analyze the difference of cardiopulmonary reserve function of phlegm-dampness and peaceful constitutions.Methods A total of 102 cases were selected for the physi⁃cal examination in Air Service Department of Northern Theater Air Force Hospital,and divided into a phlegm-dampness constitution group of 50 and a peaceful constitution group of 52 according to their traditional Chinese medicine constitution.Both groups underwent the cardiopulmonary exercise testing(CPET),and the cardiopulmonary reserve function parameters such as the peak exercise load,peak metabolic equivalent,peak kilogram oxygen uptake,and peak oxygen pulse rate were compared be⁃tween the 2 groups.Results There was no significant difference between the 2 groups in age,as well as the history of smoking and drinking(P>0.05).Moreover,the average body mass index,neck circum⁃ference,heart rate reserve,and peak ventilation of the phlegm-dampness constitution group were signif⁃icantly higher than the peaceful constitution group,while the average peak exercise load,peak meta⁃bolic equivalent,peak heart rate,peak oxygen pulse,and peak kilogram oxygen uptake were signifi⁃cantly lower than the latter group(P<0.05).Conclusions Compared with the people of peaceful constitu⁃tion,those of phlegm-dampness have lower cardiopulmonary reserve function.Therefore,early physical intervention should be conducted to help them to get into a healthy lifestyle.

关 键 词：心肺功能 峰值代谢当量 峰值公斤摄氧量 峰值氧脉搏 中医体质 

分 类 号：R851[医药卫生—航空、航天与航海医学]