首次急进高原士兵急性高原反应发生率及与训练倦怠的相关性  

Relationship between incidence of acute high altitude reaction and training burnout of soldiers rapidly access to the plateau for the first time

作　　者：张晓馨[1] 丁魁 孟新珍 王燕 秦天 ZHANG Xiao-xin DING Kui MENG Xin-zhen WANG Yan QIN Tian(Department of Neurology,General Hospital of Xinjiang Command of PLA, Urumqi Xinjiang,830000,China 31 Division of 69245 Army of PLA , Fukang Xinjiang, 831500, China Mental Health Center ,23 Hospital of PLA , Urumqi Xinjiang, 830011, China 35 Divis ion of 69231 Army of PLA , Dus hanzi X injiang , 834600, China)

机构地区：[1]新疆军区总医院神经内科 [2]解放军69245部队31分队 [3]解放军23医院精神卫生中心 [4]解放军69231部队35分队

出　　处：《职业与健康》2017年第19期2670-2673,共4页Occupation and Health

基　　金：石河子大学心理应用研究中心资助项目(XLYY201501)

摘　　要：目的探讨首次急进高原士兵急性高原反应的发生率及其与训练倦怠间的相关性。方法随机抽取驻疆某部首次急进高原1个星期后420名士兵作为研究对象,采用士兵训练倦怠自评问卷进行调查,区分有无明显急性高原反应2组,对2组间训练倦怠差异进行比较,并分析急性高原反应和训练倦怠之间的关系。结果 (1)首次急进高原士兵的急性高原反应发生率为45.7%,主要症状有头晕、头痛、乏力、气短及失眠等。(2)有明显高原反应士兵身心耗竭和训练疏离及训练倦怠总分显著高于无明显急性高原反应士兵,差异有统计学意义(Z=-5.330、-4.084、-6.288,P<0.01)。体质量超重士兵急性高原反应显著高于正常士兵,差异有统计学意义(χ~2=4.218,P<0.05);超重士兵中度高原反应显著高于正常士兵,差异有统计学意义(χ~2=13.926,P<0.01)。(3)急性高原反应对训练倦怠具有正向的预测关系(t=6.228,P<0.01)。结论首次急进高原士兵急性高原反应与训练倦怠具有密切的相关性,减少急性高原反应的发生率,对降低训练倦怠程度具有积极作用。[Objective]To explore the relationship between incidence of acute high altitude reaction and training burnout of the soldiers rapidly access to the plateau for the first time.[Methods]A total of 420 soldiers that rapidly access to the plateau for the first time were randomly chosen a week after entering plateau,and were measured with the Training Burnout Self-evaluation Test.The soldiers were divided into two groups by whether they suffered from obviously acute high altitude reaction. The differences in training burnout between 2 groups were compared,while the relationship between acute high altitude reaction and training burnout were analyzed.[Results]（1）The incidence of acute high altitude reaction among soldiers that rapidly access to the plateau for the first time was 45.7%,the main symptoms were dizziness,headache,fatigue,shortness of breath,and insomnia.（2）The total score of training burnout,as well as the scores of physical and mental exhaustion and training alienation among soldiers that had obviously acute high altitude reaction were all higher than those among soldiers without obviously acute high altitude reaction,and the differences were statistically significant（Z=-5.330,-4.084,-6.288,P〈0.01）. The overweight soldiers had more serious symptoms of acute high altitude reaction than those with normal BMI,and the difference was statistically significant（χ^2=4.218,P〈0.05）. The overweight soldiers had more serious symptoms of moderate high altitude reaction than those with normal BMI,and the difference was statistically significant（χ^2 =13.926,P〈0.01）.（3） Acute high altitude reaction had a positive predictive effect on training burnout（t=6.228,P〈0.01）.[Conclusion]There are close relationships between acute high altitude reaction and training burnout among soldiers rapidly access to the plateau for the first time. To decrease the incidence of acute high altitude reaction plays an active role in reducing the degree of training burnout.

关 键 词：士兵 高原 急性高原反应 训练倦怠 体质指数 

分 类 号：R181.34[医药卫生—流行病学]