新的疗养模式对高原脱适应期官兵身心状态的影响  

The new recuperation model Influence the physical and mental state of soldiers during the plateau de-adaptation period

作　　者：张文 陈雷[1] 刘守东 毕建静 ZHANG Wen;CHEN Lei;LIU Shou-dong;BI Jian-jing

机构地区：[1]中国人民武装警察部队烟台特勤疗养中心,264001

出　　处：《中国疗养医学》2023年第1期16-19,共4页Chinese Journal of Convalescent Medicine

基　　金：武警部队军事理论研究计划课题(WJJY22JL0763)。

摘　　要：目的探讨新的疗养模式对高原脱适应期官兵身心状态的影响。方法选择2021年1月至12月在武警烟台特勤疗养中心接受疗养的150例高原脱适应官兵作为研究对象,采用随机数字表将其分为三组,每组50例,A组(健康管理+物理治疗+常规疗养)、B组(物理治疗+常规疗养)和C组(常规疗养)。三组人员在疗养干预前后均行肺功能检查和超声心动图检查了解心肺功能,并填写调查量表焦虑自评量表(SAS)、抑郁自评量表(SDS)和阿森斯失眠量表。采用单因素方差分析和LSD方法于疗养前后进行组间比较,检验水准为P=0.05。结果疗养前三组对象用力肺活量(FVC)、一秒用力呼气容量(FEV1.0)、一秒率(FEV1.0%)等肺功能指标,SDS评分、SAS评分和阿森斯失眠量表评分,左室射血分数(LVEF)、每搏输出量(SV)、心脏指数(CI)等心功能指标比较,组间差异均无统计学意义(P>0.05)。疗养后三组FVC,SDS评分、SAS评分,LVEF和SV比较差异均无统计学意义(P>0.05),但A组FEV1.0(3.25±0.52)L、FEV1.0%(89.39±9.41)%和CI(3.39±1.29)L/(min·m^(2))均高于B组和C组(3.09±0.52)L、(87.54±9.37)%、(3.02.±2.7)L/(min·m^(2)),(3.11±0.53)L、(87.50±9.35)%、(3.14±1.75)L/(min·m^(2))。A组心理阿森斯失眠量表评分低于B组和C组,组间差异有统计学意义(P<0.05)。结论基于物理治疗与健康管理的新疗养模式可有效改善高原脱适应官兵的心肺功能和睡眠质量,提高高原脱适应期官兵的身心状态。Objective To explore the influence of the new recuperation mode on the physical and mental state of officers and soldiers during the period of high altitude de-acclimatization.Methods A total of 150 officers and soldiers with high altitude de-acclimatization who received recuperation in the Special Service Recuperation Center of the Armed Police in Yantai from January 2021 to December 2021 were selected as the research objects.They were randomly divided into 3 groups with 50 cases in each group,group A(health management+physical therapy+conventional recuperation),group B(physical therapy+conventional recuperation)and group C(conventional recuperation).All the three groups underwent pulmonary function examination and echocardiography examination before and after convalescence intervention to understand cardiopulmonary function,and filled in the survey scale Self-rated Anxiety scal(SAS),self-rated Depression Scale(SDS)and Athens Insomnia Scale.One-way ANOVA and LSD methods were used to compare the groups before and after recuperation,and the test level was P=0.05.Results Before convalescence,the three groups were compared in terms of pulmonary function indexes,such as forced vital capacity(FVC),forced expirative volume in one second(FEV1.0),one-second rate(FEV1.0%),SDS score,SAS score and Athens Insomnia Scale score,left ventricular ejection fraction(LVEF),stroke volume(SV),cardiac index(CI),etc.There was no statistical significance among all groups(P>0.05).After convalescence,there were no significant differences in FVC,SDS,SAS scores,LVEF and SV among the three groups(P>0.05).But FEV1.0(3.25±0.52)L,FEV1.0%(89.39±9.41)%and CI(3.39±1.29)L/(min·m^(2))in group A were higher than in group B and group C(3.09±0.52)L,(87.54±9.37)%,(3.02±2.7)L/(min·m^(2))and(3.11±0.53)L,(87.50±9.35)%,(3.14±1.75)L/(min·m^(2)).The psychological Athens Insomnia Scale score of group A was lower than that of group B and group C,and the difference between groups was statistically significant(P<0.05).Conclusion The new convalescent m

关 键 词：高原脱适应期 疗养 健康管理 物理治疗 

分 类 号：R82[医药卫生—临床医学]