体育运动对左心综合功能影响Tei指数评价及探究.docVIP

体育运动对左心综合功能影响Tei指数评价及探究摘 要: 利用M型及多普勒超声心动图,测定传统左心收缩功能和舒张功能参数及Tei指 数、左室收缩期射流峰值速度,对体育专业大学生与非体育专业大学生左心收缩及舒张功能 进行对比研究。结果显示传统指标只是片面地反映了左心功能的单一方面,而基于血液动力 学基础的Tei指数能反映出左心综合功能,且不受多种外在因素的影响,更适于生理状态下 的心脏整体功能的比较。体育专业大学生的Tei指数较小、左室收缩期射流峰值速度较快, 心率较慢,具备着更高的搏出量储备和心率储备,由此得出体育运动对左心综合功能有着积 极的影响。 关键词:体育运动;Tei指数;收缩功能;舒张功能;左心综合功能 中图分类号:G804.2 文献标识码:A 文章编 号:1007-3612(2010)09-0056-04 The Evaluation and Study of Tei Index of the Influences o f Sports on the Comprehensive Functions of the Left Heart ZHANG Fu?hua?1,HE Xiu?bo?2 (1.Physical Education Department of Hunan Normal University, Changsha 410081,Hunan China; 2.the Fourth Hospital of Changsha,Changs ha 410081,Hunan China) Abstract: Using M and Doppler echocardiography to measure the parameters of the traditiona l left ventricular systolic and diastolic function, the Tei index, and maximum s peed of left ventricular systolic jet. The paper also makes comparatively studyon the left ventricular systolic and diastolic function of the sports majors an d non?sports majors. The results show the traditional indicators reflect the l eft ventricular function. While the Tei index based on the basic hemodynamic ca n reflect the integrated left ventricular function, and it is not subject to var iety of external factors. Thus it is more suitable for the comparison of physio logical state of the cardiac function. Tei index of college professional sportsstudents is smaller. The left ventricular systolic jet maximum speed is faster . And the heart rate is slower than non?sports major students. The results de monstrate that sports have a positive impact for left ventricular function. Key words: sports; Tei index; systolic function; diastolic function; thecomprehensive functions of the left heart 生理状态下人与人之间心功能的比较,其实质是在比较心肌纤维的性能,也就是肌原纤 维的收缩能力。心肌收缩的实质是通过收缩蛋白几何构型的改变,使肌节缩短来实现的,这 种潜在能力的大小就是心功能差异的实质所在,即比较心肌收缩能力也就是在比较肌原纤维 的收缩能力。大量的医学临床也发现传统反映左室收缩功能的射血分数(EF)、左室短轴缩 短率(FS)难以分辨代偿期状态下的心功能不全者与生理状态下的正常人之间的差异,更无 法企及更深层次的正常人个体间心肌肌原纤维能力的差异。随着一种被称为T