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目的分析出入境中青年海员中心电图表现为“心肌供血不足”发生的相关因素,探讨国际旅行卫生保健预防措施。方法对2003.1—2004.7出入境海员15 254人监测体检,发现异常者调查其诱因并进行综合分析。结果检出心电图异常1 737例,检出率11.3%,其中中青年心肌缺血221例,检出率1.4%。主要相关因素为过度疲劳、饮酒、高血压、肥胖等。结论加强对出入境海员的疾病监测,有针对性地开展健康咨询,对防治心血管疾病,降低航海作业意外事件的发生有着非常重要的意义。
Objective To analyze the relative electrocardiogram (ECG) of middle-aged and young seafarers entering and leaving the country as “myocardial insufficiency” and discuss the preventive measures of international travel health care. Methods A total of 15 254 sea-going seafarers from 2003.1 to 2004.7 were monitored for physical examination, and the abnormalities were investigated and the causes were analyzed. Results A total of 1 737 electrocardiogram abnormalities were detected, with a detection rate of 11.3%. There were 221 cases of middle-aged myocardial ischemia with a detection rate of 1.4%. The main relevant factors are excessive fatigue, alcohol consumption, high blood pressure, obesity and so on. Conclusion Strengthening the surveillance of outbound and inbound seafarers’ diseases and carrying out health consultation in a targeted manner are very important for preventing and treating cardiovascular diseases and reducing the occurrence of marine accidents.