基于心肺运动试验的医护人员健康状况研究

Study on the health status of medical staff based on cardiopulmonary exercise test

目的基于心肺运动试验(CEPT),探讨及研究当今医疗强度下医护人员的心肺运动功能变化情况,为不同的医护人员制订合理的运动处方提供依据。方法收集2017年11月～2018年6月广东省中医院大学城医院59名医护人员,根据运动时间不同分为运动组30名与不运动组29名,分别对两组进行CEPT并监测心电图、血压、最大氧耗量(VO_(2max))、无氧阈(AT)、最大分钟通气量(VE_(max))、最大心率(HR_(max))、氧脉搏(O_(2pulse))等。运动过程中两组气促症状按Borg主观感觉疲劳程度评定表(RPE)分级。结果运动组AT低于不运动组,VO_(2max)、VE_(max)、HR_(max)、O_(2pulse)均高于不运动组,差异均有统计学意义(P <0.05或P <0.01);两组RPE分级均集中表现为很吃力(17～18分),差异无统计学意义(P> 0.05)。结论运动组医护人员的平均心肺功能水平明显高于不运动组医护人员,CEPT的结果为医护人员运动处方的制订提供了科学依据,有利于制订个体化的运动锻炼项目,提高健康水平,为医护人员应对抢救、手术以及值班等各种临床工作提供保障。

Objective Based on cardiopulmonary exercise tests (CEPT), to explore and study the changes of cardiopulmonary exercise function of medical staff under current medical intensity, to provide reference for different medical staff to develop a reasonable exercise prescription. Methods From November 2017 to June 2018, 59 medical staff from University Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine were selected and they were divided into exercise group 30 cases and non-exercise group 29 cases according to different exercise time. CEPT was performed in the two groups. The electrocardiogram, blood pressure, maximum oxygen consumption (VO2max), anaerobic threshold (AT), maximum minute ventilation (VEmax), maximum heart rate (HRmax), and oxygen pulse (O2pulse) were monitored in the two groups. The symptoms of shortness of breath during exercise are graded according to the Borg subjective feeling fatigue rating scale (RPE) in the two groups. Results AT in the exercise group was lower than that in the non-exercise group, while VO2max, VEmax, HRmax, O2pulse were higher in the exercise group, and the differences were all statistically significant (P < 0.05 or P < 0.01). RPE grading in the two groups concentrated in difficulty (17-18 points), and the differences had no statistically significant (P > 0.05). Conclusion The average cardiopulmonary function level of the medical staff in the exercise group is significantly higher than that in the non-exercise group. The results of CEPT provide a scientific basis for the exercise prescriptions for medical staff, which is conducive to the development of individualized exercise programs and improvement of health level, and provides protection for various clinical tasks such as rescue, surgery and duty.