高原地区驻守官兵高原适应状况调查  

A survey of the physical and mental health on the military staff stationed at high altitude

作　　者：陶慧[1] 张泉龙[2] 阳盛洪 

机构地区：[1]兰州军区兰州总医院门诊部,甘肃兰州730050 [2]兰州军区兰州总医院药材科,甘肃兰州730050 [3]解放军18医院

出　　处：《西北国防医学杂志》2014年第4期316-318,共3页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的:了解高原部队人员高原适应情况,为高原部队的生理及心理卫生健康保健提供依据。方法:回顾性问卷调查104名不同海拔驻扎士兵高原适应程度及SCL-90心理健康状况。结果:高原上常发疾病为嘴唇干裂、视力减退、皮肤干裂、气喘、鼻出血、腹胀、便秘。被调查官兵中,高原肺水肿和高原脑水肿的发生率为3.1%和0。而慢性高原病尤其是红细胞增多症和高原心脏病的发生随着海拔与时间的增加而增加。SCL-90调查结果显示,高原官兵躯体化、焦虑、恐怖因子得分高于中国青年常模和军人常模,但无显著性差异。结论:高原缺氧、气候干燥、紫外线辐射等严重影响到官兵的身心健康,应积极做好紫外线防护、水质安全和健康体检等干预工作。Objective：To investigate the physical and mental health of the military personnel stationed at high altitude,and provide guidance for their health care.Methods：104male soliders stationed at different altitudes were selected and their physical adaptation and mental health were investigated.The SCL-90 questionnaire was used in the mental health investigation.Results：The common diseases at high altitude included dry lips,vision loss,dry skin,asthma,nose bleeding and bloating/constipation.The incidence for high altitude pulmonary edema and cerebral edema was 3.1% and 0 respectively.The incidence of chronic mountain sickness including the high altitude polycythemia and high altitude heart disease was increased with the increase of stationing time.The mean scores for the mental health including somatization,anxiety and terror listed in SCL-90 were higher than those of the domestic norms of youth group and military group,but no significant difference were observed.Conclusion：The dry climate and ultraviolet radiation at high altitude severely affects the health of military officers and soldiers.The interventions such as UV protection,water quality control and health examination should be performed actively.

关 键 词：高原 慢性高原病 SCL-90 问卷调查 

分 类 号：R82[医药卫生—临床医学]