多维疲劳量表在驻高原边防军人慢性疲劳综合征中的应用  

Application of multidimensional fatigue inventory in frontier guards on plateau with chronic fatigue syndrome

作　　者：徐辉[1] 韦红梅[1] 徐国利[1] 梁娜娜[1] 李美慧[1] 卢宁[2] 

机构地区：[1]兰州军区乌鲁木齐总医院营养科,新疆乌鲁木齐830000 [2]兰州军区乌鲁木齐总医院肿瘤诊疗中心,新疆乌鲁木齐830000

出　　处：《西北国防医学杂志》2015年第10期631-633,共3页Medical Journal of National Defending Forces in Northwest China

基　　金：全军医学科研"十二五"面上课题资助项目(CWS11J237)

摘　　要：目的:探讨多维疲劳量表对患有慢性疲劳综合征(chronic fatigue syndrome,CFS)的高原边防军人的应用。方法:选取新疆军区高原驻防的某部官兵186名,根据美国疾病控制中心1994修订的CFS诊断标准,通过CFS自评表进行调查,再由心理医师对可疑的CFS患者进行回访,筛选出54名,最后将40名高原边防军人分为5组,除空白对照组外,4组CFS患者分别接受吸氧、口服乳清蛋白、红景天及综合治疗(同时进行上述3种治疗)。用多维疲劳量表(MFI-20)评定干预前、干预后1周、干预后2周的分值。结果:CFS患者检出率为29%。与对照组相比,综合治疗和乳清蛋白治疗干预后较干预前,体力疲劳、活动减少、脑力疲劳降低,均有统计学差异(P<0.05),而吸氧治疗和红景天治疗前后,疲劳评分变化差异无统计学意义(P>0.05)。结论:多维疲劳量表对于主观评价高原地区CFS具有重要的意义,乳清蛋白对高原地区慢性疲劳综合征的病情改善有一定的影响。Objective：To discuss the application of multidimensional fatigue inventory（MFI）in frontier guards on plateau with chronic fatigue syndrome（CFS）.Methods：A total of 186 soldiers and officers on plateau in Xinjinag military area were selected.According to CFS diagnostic standard revised by American center for disease control in 1994,investigation was carried out through CFS self-assessment forms,then suspected patients with CFS were visited by psychologists until 54 cases were picked out.At last,40 frontier guards were divided into 5groups.Besides the control group,other groups received uptake of oxygen,oral intake of lactoalbumin,Rhodiola rosea and comprehensive treatment respectively.Scores were evaluated by MFI-20 before,1week and 2week after intervention.Results：The detection rate of CFS patients was 29%.The scores of physical fatigue,reduced activity and mental fatigue in lactoalbumin and comprehensive group were less after intervention than those before（P〈0.05）.Fatigue scores in oxygen uptake group and Rhodiola rosea group were not less after intervention than those before intervention（P〉0.05）.Conclusion：MFI is very important for subjectively evaluating CFS on plateau.Lactoalbumin has some effect on the relief of CFS.

关 键 词：高原 多维疲劳量表 慢性疲劳综合征 边防军人 乳清蛋白 

分 类 号：R82[医药卫生—临床医学]