昆明安宁温泉对军队高黏血症疗养员血液流变学指标的影响研究

Influence of Anning Hotspring in Kunming on hemodynamic indexes of military convalescents with hyperviscosity

目的观察昆明安宁温泉对高黏血症疗养员的血液流变学指标的影响。方法选取217名军队高黏血症疗养员作为受试者,随机分为3组(对照组、温泉浴组和温泉游泳组),分别于疗养前后观察血液流变学六项指标的变化。结果对照组疗养4周后各项指标差异无统计学意义(P>0.05);温泉浴组疗养4周后,全血黏度(高切、低切)、全血还原黏度(高切、低切)、血浆黏度显著低于疗养前(P<0.05),其他项目差异无统计学意义(P>0.05);温泉游泳组疗养4周后,全血黏度(高切、低切)、血浆黏度、全血还原黏度(高切、低切)、红细胞变形指数明显下降(P<0.05),其他项目无显著变化(P>0.05);且温泉游泳组相比温泉浴组,全血黏度(高切、低切)差异有统计学意义(P<0.05)。结论昆明安宁温泉浴及游泳锻炼对疗养员有提高生理机能的作用,能显著改善多项血液流变学指标,可作为高黏血症疗养员的有效疗养方法。

Objective To observe the influence of A nning H otspring in Kunm ing on hem odynam ic indexes of m ilitary convalescents w ith hyperviscosity.Methods 217 m ilitary convalescents w ith hyperviscosity w ere selected as subjects w ho w ere random ly divided into control group ,hotspring bathing group ,and hotspring sw im m ing group ,then the changes in six hem odynam ic indexes before and after the rehabilita-tion w ere com pared .Results The differences of hem odynam ic indexes in the control group after 4 weeks of rehabilitation w ere not of sta-tistical significance (P>0 .05 ).W hile in hotspring bathing group after 4 weeks of rehabilitation ,w hole blood viscosity (high and low shear rate),w hole blood reductive viscosity (high and low shear rate),and plasm a viscosity w ere clearly low er than those before the rehabilitation (P<0.05),but the differences of other indexes were not of statistical significance(P>0.05).For the hotspring swim m ing group after 4 weeks of rehabilitation,w hole blood viscosity (high and low shear rate),plasm a viscosity,w hole blood reductive viscosity (high and low shear rate),and erythrocyte deform ation index w ere clearly decreased(P<0.05),but the other indexes show ed no clear changes(P>0.05). The differences of w hole blood viscosity(high and low shear rate)in the hotspring sw im m ing group and the hotspring bathing group w ere of statistical significance(P<0.05).Conclusion A nning H otspring bathing and sw im m ing training in Kunm ing can increase physiological func-tion of convalescents and significantly im prove m ultiple hem odynam ic indexes,w hich can serve as an effective therapy for convalescents w ith hyperviscosity.