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目的探讨多样化军事任务部队官兵SCL-90的评定及消化道疾病相关激素水平的变化。方法采用症状自评量表(SCL-90)对执行常规训练、爆破、伞兵作业军事人员269人进行任务完成前后调查及放射免疫法检测血清皮质醇浓度。结果爆破、伞兵军事人员任务完成后SCL-90各项因子分值均低于完成前,其中躯体化、焦虑、抑郁、精神病性因子分下降较明显(P<0.01),其次是恐怖因子分值下降(P<0.05),其他因子未达到显著水平。任务完成后血清皮质醇浓度均较任务完成前显著升高(P<0.01),常规训练组前后变化不明显。结论多样化军事任务的应激环境对部队官兵心理状态及内分泌激素变化的影响有明显不同,严重的军事应激可引发或加重部队官兵胃肠道疾病以及引起血清皮质醇水平升高,常规训练应激反应较平缓,故应加强多样化军事应激不同人群的对应处理。
Objective To explore the assessment of SCL-90 of officers and soldiers of diverse military task force and the changes of hormone levels related to gastrointestinal diseases. Methods SCL-90 was used to investigate the serum cortisol levels of 269 military personnel performing conventional training, blasting and paratrooperation before and after the completion of the task and the radioimmunoassay. The results of blasting, paratrooper military personnel after the completion of the task SCL-90 factor scores were lower than before completion, including somatization, anxiety, depression, psychiatric factor points decreased significantly (P <0.01), followed by terrorist score Decreased (P <0.05), other factors did not reach significant level. The level of serum cortisol after the completion of the task was significantly higher than that before the completion of the task (P <0.01), and there was no obvious change in the routine training group before and after the task. CONCLUSIONS: The stress environment of diversified military missions has notable effects on the psychological status and the changes of the endocrine hormones of the officers and men in the armed forces. Severe military stress can cause or aggravate the gastrointestinal diseases of the officers and soldiers of the armed forces and cause an increase in the serum cortisol level. The conventional training The stress response is relatively gentle, so the corresponding treatment of diversified military stress groups should be strengthened.