Abstract：Objective To explore the methods of screening of high-risk groups of sudden death during military training.Methods First, a questionnaire survey and physical examination were used to screen those at high risk of cardiovascular diseases as the high-risk group from among 460 soldiers who were going to participate in the 5 km cross-country training, while the same number of soldiers at no risk of cardiovascular diseases were selected as age-matched controls. The results of routine twelve lead electrocardiograms (ECGs) were compared between the two groups before and after training (30 min before training and 10 min after training).Results Through a questionnaire survey and physical examination, a total of 44 soldiers were found to be at high risk of cardiovascular diseases, including one case diagnosed with hypertension, and another case suspected of coronary heart disease, both of whom were disqualified for the 5 km cross-country training. The remaining 42 were selected as the high risk group, and 42 healthy people as the control group. Before exercise, the incidence of abnormal ECGs in the high-risk group was higher than that in the control group, and the percentage of abnormal ECGs was 33.33% and 0 respectively. After exercise, the incidence of abnormal ECGs in the high risk group was 52.38%, significantly higher than 7.14% in the control group, and the difference was statistically significant (P<0.05).Conclusions A questionnaire survey and physical examination that precede the use of ECG for screening soldiers at high risk of sudden death during military training can be of some value.
尚冬梅,马 燕,郑磊朋,刘 洋. 军事训练中运动性猝死高危人员初步筛查方法探讨[J]. 武警医学, 2017, 28(4): 329-331.
SHANG Dongmei, MA Yan, ZHEGN Leipeng, and LIU Yang. Screening of high risks of sudden death during military training. Med. J. Chin. Peop. Armed Poli. Forc., 2017, 28(4): 329-331.
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