军事行动应激儿童心血管系统功能状态的优化

A. M. Levchin, I. B. Ershova, A. G. Rogovtsova
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引用次数: 0

摘要

目的:探讨军事应激对小学学龄儿童心血管系统功能的影响。设计:前瞻性队列非随机研究。材料和方法。共有730名儿童接受观察:主要群体中的239名儿童生活在敌对行动频繁发生的领土上;对照组中年龄较小的学童(491名儿童)生活在没有进行军事行动的地区。通过计算和测定Martinet-Kushelevsky样品的参数,研究了心血管系统的功能状态。结果。研究表明,在和平生活条件下的低龄学童,其心率在Martinet-Kushelevsky测试后的恢复速度比经历过军事行动压力的儿童快(p < 0.05)。对经历过军事行动压力的儿童的初步研究使我们不仅确定了较长的血压恢复时间(p < 0.001),而且还确定了性别差异。在综合整合计划的背景下反复进行的研究显示,所有亚组的脉搏血压值均显著(p < 0.05)降低。结论。在经历过主动敌对行动影响的学龄儿童中,心血管系统在有剂量的身体活动后恢复的能力急剧下降;在学校的体育课程中,必须考虑到儿童CCC功能的特征。关键词:儿童,小学年龄,心血管系统,Martinet-Kushelevsky试验。
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Optimization of the Functional State of the Cardiovascular System of Children Who Have Experienced the Stress of Military Operations
Aim: To study the specific functional condition of the cardiovascular system in primary school-aged children who experienced stress from military actions. Design: Prospective cohort non-randomised study. Materials and methods. There were 730 children under observation: 239 children of the main group lived in the territories where active hostilities took place; the younger schoolchildren of the control group (491 children) lived in territories where military operations were not carried out. The functional state of the cardiovascular system was studied by calculating and determining the parameters of the Martinet–Kushelevsky sample. Results. The study showed that the recovery of heart rate after the Martinet–Kushelevsky test in younger schoolchildren who were in peaceful living conditions occurred faster than in children who experienced the stress of military operations (p < 0.05). The initial study of children who experienced the stress of military operations allowed us to establish not only a longer recovery time of blood pressure (p < 0.001), but also gender differences. The study conducted repeatedly, against the background of the integrated integration program, revealed a significant (p < 0.05) decrease in pulse blood pressure values in all subgroups. Conclusion. In younger schoolchildren who have experienced the effects of active hostilities, the ability of the cardiovascular system to recover after dosed physical activity is sharply reduced; the identified features of the functioning of the CCC in children must be taken into account during physical education lessons at school. Keywords: children, primary school age, cardiovascular system, Martinet–Kushelevsky test.
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