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高温高湿环境下军事训练致新兵横纹肌溶解及相关脏器损伤的研究
Rhabdomyolysis and related organ damage in new recruits during military training under high temperature and humidity environment
- 陆军军医大学学报 2024年46卷第10期 页码：1063-1067
- 作者机构：
1.100853 北京，解放军医学院 解放军总医院第六医学中心心血管病医学部
2.100034 北京，中国人民解放军第三〇五医院心血管内科
3.264299 山东 威海，中国人民解放军第九七〇医院心血管内科
4.735199 甘肃 嘉峪关，甘肃省嘉峪关市中医院心血管内科
5.101149 北京，通州离职干部休养所门诊部
- 作者简介：
[付振虹，E-mail: fuzhenh@126.com FU Zhenhong, E-mail: fuzhenh@126.com
- 基金信息：解放军总医院青年成长项目(QNC19004)
DOI：10.16016/j.2097-0927.202302047
中图分类号： R337.52;R685.5;R821.2收稿：2023-02-08，
修回：2023-09-01，
纸质出版：2024-05-30
- 稿件说明：
移动端阅览
沈建, 张昕, 刘赫男, 等. 高温高湿环境下军事训练致新兵横纹肌溶解及相关脏器损伤的研究[J]. 陆军军医大学学报, 2024,46(10):1063-1067.
Jian SHEN, Xin ZHANG, Henan LIU, et al. Rhabdomyolysis and related organ damage in new recruits during military training under high temperature and humidity environment[J]. Journal of Army Medical University, 2024, 46(10): 1063-1067.
沈建, 张昕, 刘赫男, 等. 高温高湿环境下军事训练致新兵横纹肌溶解及相关脏器损伤的研究[J]. 陆军军医大学学报, 2024,46(10):1063-1067. DOI： 10.16016/j.2097-0927.202302047.
Jian SHEN, Xin ZHANG, Henan LIU, et al. Rhabdomyolysis and related organ damage in new recruits during military training under high temperature and humidity environment[J]. Journal of Army Medical University, 2024, 46(10): 1063-1067. DOI： 10.16016/j.2097-0927.202302047.
摘要
目的
2
通过比较不同训练环境对新兵实验室检测指标及心电图的影响，探讨新兵在高温高湿环境下出现横纹肌溶解和相关脏器损伤的可能性。
方法
2
选择两地新兵500名，均为男性，年龄(21.36±2.59)岁，按新兵所在环境分为常规环境组(北京某部，
n
=250)和高温高湿环境组(海南某部，
n
=250)。进行相同科目训练后4周，采集新兵的一般情况、训练前后血液及尿液学指标、心电图检查相关指标，并进行统计学分析。
结果
2
高温高湿环境组炎症反应、心肌损伤、肌肉损伤、肝损伤、肾损伤的发生率分别为45.76%、3.39%、12.71%、25.42%、12.71%，较常规环境组显著增加(
P
<
0.05)。高温高湿环境组新兵窦性心动过缓、房性早搏、非特异ST-T变化、左室高电压、短PR间期的发生率分别为6.78%、5.93%、8.47%、6.78%、2.54%，显著高于常规环境组(
P
<
0.05)。
结论
2
高温高湿环境下新兵军事训练后更易出现炎性反应、心肌损伤、肌肉损伤、肝损伤、肾损伤以及心电异常。
Abstract
Objective
2
To explore the possibility of rhabdomyolysis and related organ damage in new recruits training in high temperature and high humidity environment by comparing the effects of different training environments on the laboratory indicators and electrocardiogram.
Methods
2
A total of 250 new recruits from a unit in Beijing and another 250 ones from a unit in Hainan were recruited and assigned into conventional environment group and high temperature and high humidity environment group
respectively. All of them were male
with an average age of 21.36±2.59 years. Before and in 4 weeks after training in the same subjects
their general information
blood and urine indicators
and electrocardiogram were collected. All data were statistically analyzed.
Results
2
The incidences of inflammatory reaction
myocardial injury
muscle injury
liver injury
and kidney injury were 45.76%
3.39%
12.71%
25.42%
and 12.71%
respectively
in the high temperature and high humidity environment group
which were all significantly higher than those in the conventional environment group (
P
<
0.05). The former group had an incidence rate of 6.78%
5.93%
8.47%
6.78%
and 2.54%
respectively
in sinus bradycardia
atrial premature beats
unspecific ST-T changes
left ventricular hypertension and short PR interval
and all of the rates were higher than those of the conventional environment group (
P
<
0.05).
Conclusion
2
The incidences of inflammatory reaction
myocardial injury
muscle injury
liver injury
kidney injury
and ECG abnormalities are more common in new recruits after military training in high temperature and high humidity environment.
关键词
Keywords
references
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