CAJ | 학술논문

目的：观察昆明安宁温泉对高黏血症疗养员的血液流变学指标的影响。方法选取217名军队高黏血症疗养员作为受试者，随机分为3组(对照组、温泉浴组和温泉游泳组)，分别于疗养前后观察血液流变学六项指标的变化。结果对照组疗养4周后各项指标差异无统计学意义(P＞0.05)；温泉浴组疗养4周后，全血黏度(高切、低切)、全血还原黏度(高切、低切)、血浆黏度显著低于疗养前(P＜0.05)，其他项目差异无统计学意义(P＞0.05)；温泉游泳组疗养4周后，全血黏度(高切、低切)、血浆黏度、全血还原黏度(高切、低切)、红细胞变形指数明显下降(P＜0.05)，其他项目无显著变化(P＞0.05)；且温泉游泳组相比温泉浴组，全血黏度(高切、低切)差异有统计学意义(P＜0.05)。结论昆明安宁温泉浴及游泳锻炼对疗养员有提高生理机能的作用，能显著改善多项血液流变学指标，可作为高黏血症疗养员的有效疗养方法。
목적：관찰곤명안저온천대고점혈증요양원적혈액류변학지표적영향。방법선취217명군대고점혈증요양원작위수시자，수궤분위3조(대조조、온천욕조화온천유영조)，분별우요양전후관찰혈액류변학륙항지표적변화。결과대조조요양4주후각항지표차이무통계학의의(P＞0.05)；온천욕조요양4주후，전혈점도(고절、저절)、전혈환원점도(고절、저절)、혈장점도현저저우요양전(P＜0.05)，기타항목차이무통계학의의(P＞0.05)；온천유영조요양4주후，전혈점도(고절、저절)、혈장점도、전혈환원점도(고절、저절)、홍세포변형지수명현하강(P＜0.05)，기타항목무현저변화(P＞0.05)；차온천유영조상비온천욕조，전혈점도(고절、저절)차이유통계학의의(P＜0.05)。결론곤명안저온천욕급유영단련대요양원유제고생리궤능적작용，능현저개선다항혈액류변학지표，가작위고점혈증요양원적유효요양방법。
Objective To observe the influence of A nning H otspring in Kunm ing on hem odynam ic indexes of m ilitary convalescents w ith hyperviscosity.Methods 217 m ilitary convalescents w ith hyperviscosity w ere selected as subjects w ho w ere random ly divided into control group ,hotspring bathing group ,and hotspring sw im m ing group ,then the changes in six hem odynam ic indexes before and after the rehabilita-tion w ere com pared .Results The differences of hem odynam ic indexes in the control group after 4 weeks of rehabilitation w ere not of sta-tistical significance (P>0 .05 ).W hile in hotspring bathing group after 4 weeks of rehabilitation ,w hole blood viscosity (high and low shear rate),w hole blood reductive viscosity (high and low shear rate),and plasm a viscosity w ere clearly low er than those before the rehabilitation (P<0.05),but the differences of other indexes were not of statistical significance(P>0.05).For the hotspring swim m ing group after 4 weeks of rehabilitation,w hole blood viscosity (high and low shear rate),plasm a viscosity,w hole blood reductive viscosity (high and low shear rate),and erythrocyte deform ation index w ere clearly decreased(P<0.05),but the other indexes show ed no clear changes(P>0.05). The differences of w hole blood viscosity(high and low shear rate)in the hotspring sw im m ing group and the hotspring bathing group w ere of statistical significance(P<0.05).Conclusion A nning H otspring bathing and sw im m ing training in Kunm ing can increase physiological func-tion of convalescents and significantly im prove m ultiple hem odynam ic indexes,w hich can serve as an effective therapy for convalescents w ith hyperviscosity.