CAJ | 학술논문

目的：观察海军大、小不同类型舰艇亚丁湾护航返回官兵心电图特点。方法对赴亚丁湾海域护航返回的某补给舰（简称大舰组）140名官兵、某护卫舰（简称小舰组）79名官兵，分别在2艘舰艇返回靠泊的当天，行常规体表12导联心电图检测，比较心电图异常及心率、各波间期的变化情况。结果小舰组官兵室性早搏发生率高于大舰组官兵，差异有统计学意义（P＜0．05）；心率、左心室高电压、ST-T改变、早期复极、间歇性Ⅰ度或Ⅱ度Ⅰ型房室传导阻滞及各波形的间期差异均无统计学意义（P＞0．05）。结论小舰官兵心律失常发生率高于大舰官兵，可能与小舰官兵自主神经功能失衡程度高，造成交感神经兴奋性增高有关。
목적：관찰해군대、소불동류형함정아정만호항반회관병심전도특점。방법대부아정만해역호항반회적모보급함（간칭대함조）140명관병、모호위함（간칭소함조）79명관병，분별재2소함정반회고박적당천，행상규체표12도련심전도검측，비교심전도이상급심솔、각파간기적변화정황。결과소함조관병실성조박발생솔고우대함조관병，차이유통계학의의（P＜0．05）；심솔、좌심실고전압、ST-T개변、조기복겁、간헐성Ⅰ도혹Ⅱ도Ⅰ형방실전도조체급각파형적간기차이균무통계학의의（P＞0．05）。결론소함관병심률실상발생솔고우대함관병，가능여소함관병자주신경공능실형정도고，조성교감신경흥강성증고유관。
Objective To observe the change features of ECG in navy personnel onboard large and small vessels after they re -turn from prolonged deployment to the Gulf of Aden .Methods One hundred and forty navy personnel onboard the auxiliary ship ( sim-ply designated as the large vessel ) and 79 people onboard the escort ( simply called the small vessel ) respectively received routine body surface 12-lead ECG detection , on the day they returned to the homeport , following prolonged deployment at sea .Abnormality in ECG and changes in heart rate and wave intervals were compared between the 2 ship crews.Results The incidence of premature ventricular contraction for the afloat personnel onboard the small vessel was higher than that for those onboard the large vessel (P<0.05).No sta-tistical differences could be noted in other indicators , such as heart rate, left ventricular high voltage , ST-T change, early repolariza-tion, intermittent one or two degree type I atrioventricular block , as well as waveform interval (P>0.05).Conclusion The incidence of arrhythmia for the afloat personnel onboard small vessel was evidently higher than that for the afloat personnel onboard the large ves -sel, which might be related with autonomic nervous system dysfunction and increased sympathetic nerve excitability .