矿泉浴对正常人心电图、心向量图、Q—T离散度的影响

作者：李文章 王绍林 雷禄岐。

【摘要】 　　目的 研究临潼矿泉浴对人体某些心电生理的影响。方法 对30例正常人用不同浴温（36℃～44℃）进行单次矿泉浴，于浴前、浴后即刻观察了心电图的改变。用38℃～40℃浴温观察了疗程前后心电图、心向量图及Q—T离散度的变化。结果 随温度的增高，心率增快，P波增高宽度变窄，R—R、P—R、Q—T间期缩短，R波降低、S波变浅。疗程后心向量图F、H、RS面的T波最大向量幅度(Tm)增高，QRS/T比值降低，心电图及 Q—T离散度无明显改变。结论 浴温越高对人体心电生理的影响越明显，适宜的矿浴温度相当重要。

【关键词】 矿泉浴；心电图；心向量图；Q—T离散度。

【Abstract】 Objective To investigate the effect of Lintong spa bath on the cardiac electrophysiology of human body. Methods 30 normal people underwent the spa bath with the different temperatures between 36℃ and 44℃once.The ECG was performed immediately before and after the bath.The temperatures between 38℃～40℃were used for observing the change of ECG,vector cardiography (VCG) and the QT dispersion before and after the treatment course.Results With the increase of the temperature, the heart rate became faster,P wave was higher and wider,the R—R,P—R and Q—T interval was shorter,R wave was lower and S wave was shallower.Tm of F,H and RS in VCG was higher and QRS/T was lower,but there was no obvious change in the ECG and theQT dispersion.Conclusion The higher the temperature of the bath,the more significant the effect of the bath on the electrophysiology of human body.The appropriate temperature of the bath is quite important.

【Key words】 Spa bath;ECG;VCG;Q—T dispersion。

为研究矿泉浴对人体某些心电生理的影响，我们随机选择了30名年轻战士，进行了矿泉浴前后的心电图、心向量图及Q—T离散度的测定，现将初步结果报告如下。

1 资料与方法。

受试者为全国各地入伍的新战士30名,均为男性，年龄17～21岁，从未接触过任何类型的矿泉浴疗，经全面体检无心血管疾患，心电图正常。矿泉浴采用临潼矿泉，全身浸浴法。按水温36℃、38℃、40℃、 42℃、 44℃五种水温单次浴前及浴后检查心电图（先嘱受试者休息15 min后浴前检查，然后入浴20 min，出浴后10 min内再行心电图检查）。用38℃～40℃浴温进行了疗程（1疗程为20次）前2 d及疗程结束后3 d心电图、心向量图及Q—T离散度的检查，浸浴及观察时间均为晚上7：30～9：30。统计方法采用U检验。