CAJ | 학술논문

目的了解高原驻守官兵心律失常的发生情况.方法对2090例高原驻守官兵作常规心电图检查.按心律失常发作的类型、驻守时间和驻守海拔高度进行统计分析.结果在2090例被检者中,心律失常发生率为19.81%,其中窦性心律不齐、窦性心动过缓、各种期前收缩占80.67%.海拔3000～3500 m组心律失常发生率与海拔>4000 m组心律失常发生率差异有统计学意义,分别为15.00%、26.82%(P<0.01);驻训3～6个月组和>1年组心律失常发生率差异无统计学意义,分别为20.49%、17.61%(P>0.05).结论高原驻守官兵心律失常的发生率较高,心电图表现多种多样,高原心律失常的发生原因与缺氧程度有关,而与缺氧的持续时间无明显关系.
목적 료해고원주수관병심률실상적발생정황.방법 대2090례고원주수관병작상규심전도검사.안심률실상발작적류형、주수시간화주수해발고도진행통계분석.결과 재2090례피검자중,심률실상발생솔위19.81%,기중두성심률불제、두성심동과완、각충기전수축점80.67%.해발3000～3500 m조심률실상발생솔여해발>4000 m조심률실상발생솔차이유통계학의의,분별위15.00%、26.82%(P<0.01);주훈3～6개월조화>1년조심률실상발생솔차이무통계학의의,분별위20.49%、17.61%(P>0.05).결론 고원주수관병심률실상적발생솔교고,심전도표현다충다양,고원심률실상적발생원인여결양정도유관,이여결양적지속시간무명현관계.
Objective To elucidate incidence of cardiac arrhythmia of officers and soldiers in Can Zi state. Methods A total of 2090 officers and soldiers were investigated. Electrocardiogram was analyzed by category of cardiac arrhythmia and was correlated with resided duration and altitude of stationed. Results The average incidence rate of cardiac arrhythmia was 19. 81% (414/2090). Sinus irregularity,sinus bradycardia and all kinds of premature systole were about 80. 67% (334/414) of all kind cardiac arrhythmia,48. 55% (201/414) ,18. 36% (76/414) ,13. 77% (57/414) respectively. There were significant differences between altitude of 3000 ～3500 m group and >4000 m group[ 15. 00% (186/1240) vs. 26. 82% (228/850) ,P<0. 01 ]. No significant difference was found between 3 ～ 6 months duration group and more than 1 year duration group (20.49% (327/1596) vs. 17. 61% (87/494) ,P>0. 05]. Conclusion Officers and soldiers in highland have the high incidence and variety of arrhythmia which is closely related with the level of hypoxia,and have nothing to do with the persistence time of hypoxia.