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高原部队官兵EQ-5D健康情况调查及其与慢性高原病的相关性分析
Health-related quality of life among servicemen stationed at plateau by EQ-5D and its correlation analysis with chronic mountain sickness
- 第三军医大学学报 2017年39卷第13期 页码：1410-1414
- 作者机构：
1.400038 重庆 第三军医大学卫勤训练基地，卫生勤务学教研室
2.400038 重庆，第三军医大学高原军事医学系，教育部高原环境医学重点实验室，全军高原生理与高原病研究重点实验室，高原特需药品与卫生装备研究室
- 作者简介：
[ 高钰琪, E-mail:gaoy66@gmail.com GAO Yuqi, E-mail:gaoy66@gmail.com
- 基金信息：全军“十二五”重大课题(AWS14C007);全军“十二五”重点课题(EWS11J042);国家基础科学人才培养基金(J1310001)
DOI：10.16016/j.1000-5404.201704015
中图分类号： R195;R594.3;R821.2收稿：2017-04-05，
修回：2017-05-06，
纸质出版：2017-07-15
- 稿件说明：
移动端阅览
周琳琳, 刘春, 陈郁, 等. 高原部队官兵EQ-5D健康情况调查及其与慢性高原病的相关性分析[J]. 第三军医大学学报, 2017,39(13):1410-1414.
Linlin ZHOU, Chun LIU, Yu CHEN, et al. Health-related quality of life among servicemen stationed at plateau by EQ-5D and its correlation analysis with chronic mountain sickness[J]. Journal of Third Military Medical University, 2017, 39(13): 1410-1414.
周琳琳, 刘春, 陈郁, 等. 高原部队官兵EQ-5D健康情况调查及其与慢性高原病的相关性分析[J]. 第三军医大学学报, 2017,39(13):1410-1414. DOI： 10.16016/j.1000-5404.201704015.
Linlin ZHOU, Chun LIU, Yu CHEN, et al. Health-related quality of life among servicemen stationed at plateau by EQ-5D and its correlation analysis with chronic mountain sickness[J]. Journal of Third Military Medical University, 2017, 39(13): 1410-1414. DOI： 10.16016/j.1000-5404.201704015.
摘要
目的
2
了解常驻高原部队官兵健康相关生命质量情况，探讨其与慢性高原病之间的关系。
方法
2
分层随机抽取某军区驻高原部队956个样本及该军区驻平原587个对照样本，实施欧洲五维健康量表(Europe health-related quality of life questio
nnaire 5 dimensions，EQ-5D)和慢性高原病(Chronic mountain sickness
CMS)检查。采用
t
检验、卡方检验、线性相关、非参数检验、方差分析等统计方法进行分析。
结果
2
高原组行动能力、疼痛或不舒服、焦虑或沮丧各维度评分均显著高于对照组(
P
＜0.05)，EQ直观模拟标度尺(EQ visual analogue scale，EQ-VAS)评分显著低于对照组(
P
＜0.05)。行动能力、自我照顾、疼痛或不舒服、焦虑或沮丧各维度与CMS呈显著正相关(
P
＜0.05)，EQ-VAS评分与CMS呈显著负相关(
P
＜0.05)；疼痛或不舒服与心率和血红蛋白浓度呈显著正相关(
P
＜0.05)，EQ-VAS评分与心率呈显著负相关(
P
＜0.05)。高原组中健康组、轻度CMS组、中重度CMS组各维度和EQ-VAS评分差异显著(
P
＜0.05)。
结论
2
常驻高原官兵的健康相关生命质量与CMS的发生有显著相关性。EQ-5D可以对高原官兵，尤其是CMS官兵的健康状况进行全面的评估，为高原卫勤保障措施的制定提供科学依据。
Abstract
Objective
2
To investigate the status of health-related quality of life in officers and soldiers stationed at high altitude
and explore its relationship with chronic mountain sickness (CMS).
Methods
2
Atotal of 956 subjects and 587 controls were sampled from the troops stationed at plateau and flatland respectively inamilitary command by stratified random sampling. Europe health-related quality of life questionnaire 5 dimensions (EQ-5D) and CMS diagnoses were performed on them. Student's
t
test
Chi
-square
Correlation test
Nonparametric analysis
and ANOVA were used for analysis.
Results
2
The scores of mobility
pain/discomfort and anxiety/dispersion were significantly higher (
P
<
0.05)
and the scores of EQ visual analogue scale (EQ-VAS) were significantly lower (
P
<
0.05) in the high altitude group than the control. The dimensions of mobility
self-care
pain/discomfort and anxiety/dispersion were positively correlated with CMS (
P
<
0.05). The scores of EQ-VAS were negatively correlated with CMS (
P
<
0.05). Pain/discomfort had positive correlation with heart rate and hemoglo
bin concentration (
P
<
0.05). The scores of EQ-VAS had negative correlation with heart rate (
P
<
0.05). There were significant differences in different dimensions and EQ-VAS score among those health
with mild and moderate-severe CMS from the high altitude group (
P
<
0.05).
Conclusion
2
Health-related quality of life is significant correlated with the occurrence of CMS in the officers and soldiers stationed in high altitude. EQ-5D can offeracomprehensive evaluation to the health state of the soldiers
especially those with CMS
and provide scientific evidences for the establishment of altitude medical service measures.
关键词
Keywords
references
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