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目的:调查分析驻高原官兵军事应激与心律失常的关系。方法:选择驻高原官兵894例,按近期内是否参加高强度军事行动分为观察组和对照组;采用问卷调查、心电图和超声检查方法,调查心律失常发生情况。结果:观察组心悸发生率为10.9%,显著高于对照组的6.9%(P<0.05);观察组房性期前收缩及室性期前收缩发生率5.0%,显著高于对照组的2.2%(P<0.05);两组超声检查均未见心脏结构异常。结论:高原驻守官兵军事应激下心律失常发生率相对较高,应采取针对性的防治措施。
Objective: To investigate the relationship between military stress and arrhythmia in officers and soldiers stationed in the plateau. Methods: 894 officers and soldiers stationed in the plateau were selected and divided into observation group and control group according to whether they participated in high-intensity military operations in the near future. The incidence of arrhythmia was investigated by questionnaire, electrocardiogram and ultrasonography. Results: The incidence of palpitations in the observation group was 10.9%, significantly higher than that in the control group (P <0.05). The atrial pre-systolic and premature ventricular contraction rates in the observation group were significantly higher than those in the control group % (P <0.05). There was no cardiac structural abnormality in both groups. Conclusion: The incidence of arrhythmia under the military stress of officers and soldiers stationed in the plateau is relatively high, and targeted prevention and treatment measures should be taken.