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Effect of heat acclimation training on people with high intensity physical activity in high temperature and humidity environment |
YE Jianxin1,2 LIN Hang1,2 MU Junshan1,2 CUI Xiaoping1,2 YU Zhuling1,2 |
1.Department of Neurology, the 900th Hospital of the Joint Service Support Force of the Liberation Army, Fujian Province, Fuzhou 350025, China;
2.Fuzong Clinical Medical College of Fujian Medical University, Fujian Province, Fuzhou 350025, China |
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Abstract Objective To explore the effect of heat acclimation training on people with high intensity physical activity in high temperature and humidity environment. Methods From August 2014 to August 2018, 70 amateur long-distance runners in Xianshan Community participate in 5 km long-distance training were divided into the oservation group and the control group by simple random grouping method, with 35 in each group. The observation group was received heat acclimation training before training. The changes of interleukin-1β (IL-1β), γ interferon (IFN-γ), tumor necrosis factor-α (TNF-α), acute physiology and chronic health evaluationⅡ (APACHEⅡ), glasgow coma scale (GCS), troponin I (cTnI), urine creatinine (Cr), creatine kinase isoenzymes (CK-MB) level. The incidence of exertional heat stroke, multiple organ dysfunction syndrome and the organ involvement rate in the two groups were compared. Results Before training, there were no significant differences in the levels of IL-1β, IFN-γ and TNF-α in the two groups (P > 0.05). After training, the IL-1β, IFN-γ and TNF-α levels in the two groups were increased than those before training, and the observation group was lower than the control group, with statistically significant differences (P < 0.05). Before training, there were no significant differences in APACHEⅡ and GCS scores between the two groups (P > 0.05). After training, APACHEⅡ scores of the two groups were increased than those before training, GCS scores were decreased than those before training, and APACHEⅡ scores of the observation group were lower than those of the control group, and GCS scores were higher than those of the control group, the differences were statistically significant (all P < 0.05). Before training, there were no significant differences in cTnI, Cr and CK-MB levels between the two groups (P > 0.05). After training, cTnI, Cr and CK-MB levels in the two groups were increased than those before training, the observation group was lower than the control group, with statistically significant differences (all P < 0.05). The incidence of exertional heat stroke, multiple organ dysfunction syndrome and organ involvement in the observation group were lower than those in the control group (P < 0.05). Conclusion Heat acclimation training has a significant effect on high intensity physical activity in high temperature and high humidity environment. It can effectively improve the inflammatory response and reduce the incidence of multiple organ dysfunction syndrome. It is worth popularizing and applying.
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[1] 赵翠梅,李庆华,孙荣青,等.脑水肿程度对劳力性热射病患者多器官功能损害的影响[J].中国中西医结合急救杂志,2018,25(3):246-249.
[2] 曹昕瑞,马晓楠,于笑难.血浆置换辅助治疗劳力性热射病合并早期严重肝损害的疗效[J].临床输血与检验,2019, 21(1):42-44.
[3] 王洪萍,陈玮,李淑萍,等.劳力性热射病的快速识别与降温治疗进展[J].中华危重病急救医学,2018,30(10):1006-1010.
[4] Oh RC,Galer M,Bursey MM. Found in the Field-A Soldier With Heat Stroke,Exercise-Associated Hyponatremia,and Kidney Injury [J]. Curr Sports Med Rep,2018,17(4):123-125.
[5] 李洪玉,钱春梅,岑玉蓉,等.连续性血液净化疗法联合亚低温在热射病患者急救中的护理[J].中国中西医结合肾病杂志,2019,20(1):72-73.
[6] Davis BC,Tillman H,Chung RT,et al. Heat stroke leading to acute liver injury & failure:A case series from the Acute Liver Failure Study Group [J]. Liver Int,2017,37(4):509-513.
[7] 江慧琳,伍卓文,朱永城,等.APACHEⅡ评分对急诊室无创通气治疗患者的预后评估价值[J].现代医院,2013, 13(12):5-7.
[8] 刘瑞东,周忆频.肠内营养时机对老年重型颅脑疾病术后临床疗效的影响[J].天津医药,2014,42(11):1106-1109.
[9] 简明,章保新,刘阳,等.军事训练致劳力性热射病对血清HSP72水平的影响[J].武警医学,2017,28(9):882-884.
[10] 胡强,汪宏云,段民屹,等.热毒宁注射液治疗老年热射病的疗效观察[J].实用临床医药杂志,2017,21(13):171-173.
[11] 杨胜,葛燕萍,张冬惠,等.连续性血液净化并强化目标控制温度管理救治热射病患者的临床观察[J].中国中西医结合急救杂志,2017,24(4):409-414.
[12] 杨晓丽,邬明辉,焦晓静,等.热射病并弥漫性血管内凝血多系统器官功能衰竭致死亡报告[J].临床误诊误治,2017,30(8):50-52.
[13] 李庆华,孙荣青,吕宏迪,等.不同起始时间亚低温治疗对劳力性热射病患者各器官的保护作用[J].中华危重病急救医学,2018,30(4):365-368.
[14] 李壮丽,邵敏,李跃东.亚低温治疗对心搏骤停心肺复苏后患者脑保护作用的研究进展[J].中国中西医结合急救杂志,2017,24(1):101-103.
[15] King MA,Leon LR,Morse DA,et al. Unique cytokine and chemokine responses to exertional heat stroke in mice [J]. J Appl Physiol,2017,122(2):296-306.
[16] 黄大雪,舒华,任晓卉.右美托咪定对肺癌患者MMSE评分、炎症反应及氧化应激水平的影响作用分析[J].临床肺科杂志,2018,23(1):156-160.
[17] 张鑫鹏,向奎金,沈铭彬,等.高温环境下重复性,短时,间歇性爆发力练习人体温度的变化[J].体育科技文献通报,2018,26(10):63-64,79.
[18] Heytens K,De Bleecker J,Verbrugghe W,et al. Exertional rhabdomyolysis and heat stroke:Beware of volatile anesthetic sedation [J]. World J Crit Care Med,2017,6(1):21-27.
[19] Keen ML,Miller KC. Should Cooling Vests be Used to Treat Exertional Heatstroke?A Critically-Appraised Topic [J]. J Sport Rehabil,2017,26(3):286-289.
[20] 李庆华,孙荣青,刘树元,等.热习服训练对劳力性热射病患者炎症反应及MODS的影响[J].中华危重病急救医学,2018,30(6):599-602.
[21] 梁涵,李玉祥,陈新民,等.热习服对湿热环境运动刺激大鼠大脑皮质和心肌线粒体的影响[J].第二军医大学学报,2017,38(4):469-475. |
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