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

发布时间：2018-03-12 14:44

本文选题：欧洲五维健康量表　切入点：慢性高原病　出处：《第三军医大学学报》2017年13期 　论文类型：期刊论文

【摘要】：目的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 questionnaire 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(P0.05),EQ直观模拟标度尺(EQ visual analogue scale,EQ-VAS)评分显著低于对照组(P0.05)。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(P0.05),EQ-VAS评分与CMS呈显著负相关(P0.05);疼痛或不舒服与心率和血红蛋白浓度呈显著正相关(P0.05),EQVAS评分与心率呈显著负相关(P0.05)。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(P0.05)。结论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 to investigate the health related quality of life (QOL) of officers and soldiers living at high altitude, and to explore the relationship between them and chronic alpine disease. Methods 956 samples of military region troops in plateau and 587 control samples in plain of military region were randomly selected by stratification. Europe health-related quality of life questionnaire 5 dimension EQ-5D) and chronic high altitude disease (Chronic mountain Sicknessessen MS) were performed. Statistical methods such as t test, chi-square test, linear correlation, nonparametric test and variance analysis were used. The scores of each dimension of pain or discomfort, anxiety or depression were significantly higher than those of the control group (P 0.05), and the scores of EQ visual analogue scale EQ-VASS were significantly lower than those of the control group (P 0.05). The scores of motor ability, self-care, pain or discomfort were significantly lower than those in the control group. There was a significant positive correlation between anxiety or depression and CMS. The scores of EQ-VAS were negatively correlated with CMS, and pain or discomfort were positively correlated with heart rate and hemoglobin concentration. There was a significant negative correlation between the scores of EQ-VAS and heart rate. There were significant differences in the dimensions and EQ-VAS scores between moderate and severe CMS groups (P 0.05). Conclusion there is a significant correlation between the health-related quality of life and the occurrence of CMS among the officers and soldiers living at high altitude. EQ-5D can comprehensively evaluate the health status of the officers and soldiers at high altitude, especially the CMS officers and soldiers. It provides the scientific basis for the establishment of the medical support measures in the plateau.
【作者单位】：第三军医大学卫勤训练基地卫生勤务学教研室;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;
【基金】：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)~~
【分类号】：R82

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