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新兵5km越野跑训练致心电图改变426例分析 被引量:4

Analysis of ECG changes caused by 5km cross-country running training in 426 new recruits
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摘要 目的:探讨新兵首次高强度训练后的心电图变化及其特征。方法:选择426例入伍1个月的男性新兵,随机均分为强化训练组(当日清晨越野跑5km,时间控制在25-30min)和常规训练组(仅参加日常一般队列训练)。两组分别于训练前,训练后0.5h和24h记录常规12导联体表心电图,对比分析两组新兵训练前后心电图的变化。结果:与常规训练组比较,强化训练组训练后0.5h各种心律失常以及心电图改变发生率均显著升高,P〈0.05或〈0.01;训练后24h,强化训练组窦性心动过速(1.41%比6.57%)、窦性心动过缓(0.47%比5.16%)、频发房性早搏(0.94%比4.69%)、频发室性早搏(1.41%比5.16%)、房室传导阻滞(0.47%比4.23%)和ST-T改变(1.41%比6.10%)发生率仍然显著升高,P〈0.05或〈0.01。结论:新兵首次5km越野跑可出现心电图异常,包括心律失常和ST-T改变。 Objective:To explore changes and features of ECG in new recruits after first high intensity training.Methods:A total of 426 male new recruits who joined the army only one month were selected and randomly and equally divided into intensive training group(cross-country running for 5km at morning for 25-30min)and routine training group(only participated in daily general formation drill).Both groups received routine 12-lead surface ECG before,and 0.5h,24 hafter training,ECG changes were compared and analyzed between two groups before and after training.Results:Compared with routine training group,there were significant rise in incidence rates of various arrhythmias and ECG changes in intensive training group on 0.5hafter training,P〈0.5or0.01;on 24 h after training,the incidence rates of sinus tachycardia(1.41% vs.6.57%),sinus bradycardia(0.47%vs.5.16%),frequent atrial premature beat(0.94%vs.4.69%),frequent ventricular premature beat(1.41%vs.5.16%),atrioventricular block(0.47%vs.4.23%)and ST-T changes(1.41%vs.6.10%)were still significantly higher in intensive training group,P〈0.05or0.01.Conclusion:Abnormal ECG,including arrhythmia and ST-T change,can occur in new recruits after first 5km cross-country running.
出处 《心血管康复医学杂志》 CAS 2016年第2期115-118,共4页 Chinese Journal of Cardiovascular Rehabilitation Medicine
基金 河北省科学技术研究与发展计划项目(112761169)~~
关键词 军事人员 体育和训练 心电描记术 心律失常 心性 Military personnel Physical education and training Electrocardiography Arrhythmia cardiac
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