[1]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.
 ZHOU Linlin,LIU Chun,CHEN Yu,et al.Health-related quality of life among servicemen stationed at plateau by EQ-5D and its correlation analysis with chronic mountain sickness[J].J Third Mil Med Univ,2017,39(13):1410-1414.
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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(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
39卷
期数:
2017年第13期
页码:
1410-1414
栏目:
军事医学
出版日期:
2017-07-15

文章信息/Info

Title:
Health-related quality of life among servicemen stationed at plateau by EQ-5D and its correlation analysis with chronic mountain sickness
作者:
周琳琳刘春陈郁蔡明春黄庆愿高钰琪
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
Author(s):
ZHOU Linlin LIU Chun CHEN Yu CAI Mingchun HUANG Qingyuan GAO Yuqi

Department of Health Service, Medical Service Training Base, Third Military Medical University, Chongqing, 400038; Key Laboratory of High Altitude Environmental Medicine of Ministry of Education, Key Laboratory of High Altitude Medicine of PLA, Institute of Medicine and Hygienic Equipment for High Altitude Region, College of High Altitude Military Medicine, Third Military Medical University, Chongqing, 400038, China

关键词:
欧洲五维健康量表慢性高原病高原官兵
Keywords:
Europe health-related quality of life questionnaire 5 dimensions chronic mountain sickness high altitude officers and soldiers
分类号:
R195; R594.3; R821.2
文献标志码:
A
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(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 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       A total of 956 subjects and 587 controls were sampled from the troops stationed at plateau and flatland respectively in a military 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       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 hemoglobin 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      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 offer a comprehensive evaluation to the health state of the soldiers, especially those with CMS, and provide scientific evidences for the establishment of altitude medical service measures.

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更新日期/Last Update: 2017-07-14