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军队飞行人员常见心身疾病及影响因素分析

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目的 分析住院及大体检的军队飞行人员常见心身疾病及影响因素,为军队飞行人员心身疾病的防治提供参考.方法 随机抽取2009年1月—2023年1月在联勤保障部队第九〇〇医院住院及大体检的军队飞行人员1 000例,分为患心身疾病组与无心身疾病组,收集相关病历资料,进行常见心身疾病及相关影响因素分析.结果 1 000例住院及大体检的军队飞行人员中共有311例患心身疾病,其中常见心身疾病为:慢性腰背酸痛、慢性胃炎、原发性高血压、紧张性头痛、心律失常、睡眠障碍、口腔溃疡、过敏性鼻炎、糖尿病及消化性溃疡.军队飞行人员症状自评量表(Symptom Checklist 90,SCL-90)总分、躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执及精神病性因子分均低于中国军人常模(t=2.961~11.220,P均<0.01).患心身疾病的军队飞行人员SCL-90总分、躯体化、人际关系敏感、抑郁、焦虑、敌对及偏执因子分均高于无心身疾病的军队飞行人员(t=1.964~4.042,P均<0.05).规律运动为军队飞行人员常见心身疾病的保护因素(OR=0.52,P<0.001),超重/肥胖、吸烟、高血脂、高尿酸为军队飞行人员常见心身疾病的独立危险因素(OR=3.81、5.11、1.65、1.59,P<0.001、<0.001、=0.001、=0.027).结论 军队飞行人员心身疾病患病率较高,在重视心理干预的同时,需重视纠正不良生活方式,从心理、躯体、社会3个方面完善对军队飞行人员身心健康的管理.
Common psychosomatic diseases and causes among military aircrews
Objective To investigate the common psychosomatic diseases and causes among hospitalized military aircrews and those under physical examination,and to provide reference for the prevention and treatment of these diseases.Methods One thousand military aircrews who were hospitalized and underwent physical examination in the 900th Hospital of Joint Logistic Support Force between 2009 and 2023 were randomly selected and divided into the psychosomatic diseases group and non-psychosomatic diseases group.The medical data of these patients was collected to analyze the incidence of common psychosomatic diseases and risk factors.Results Among these military aircrews,there were 311 cases of psychosomatic diseases,including chronic back pain,chronic gastritis,essential hypertension,tension headache,arrhythmia,sleep disorders,oral ulcer,allergic rhinitis,diabetes mellitus and peptic ulcer.The total score of the Symptom Check List-90,somatization,obsessive-compulsive symptoms,interpersonal sensitivity,depression,anxiety,hostility,terror,paranoia,and psychogenic factor scores of military aircrews were lower than the norm of Chinese soldiers(t=2.961~11.220,all P<0.01).The total score of the Symptom Check List-90 of military aircrews with psychosomatic diseases and the scores of anxiety,somatization,paranoia,interpersonal sensitivity,depression and hostility were significantly higher than those of aircrews without(t=1.964~4.042,all P<0.05).Regular Exercise was a protective factor for the common psychosomatic diseases in military aircrews(OR=0.52,P<0.001).Overweight/obesity,smoking,hyperlipidemia and hyperuricemia were independent risk factors(OR=3.81,5.11,1.65,1.59,P<0.001,<0.001,=0.001,=0.027).Conclusion The prevalence of psychosomatic diseases in military aircrews is high.While taking psychological interventions seriously,we should work harder to correct unhealthy lifestyles and reduce the incidence of psychosomatic diseases in military aircrews.

Psychosomatic diseasesPrevalenceMental Health StatusLifestyleAircrews

陈宏、董文琴、汪红荣、李晶、毛美

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解放军联勤保障部队第九〇〇医院特勤科,福州 350002

解放军联勤保障部队第九〇七医院烧伤科,南平 353000

心身疾病 患病率 心理健康 生活方式 飞行人员

2024

空军航空医学
空军总医院

空军航空医学

CSTPCD
影响因子:0.586
ISSN:2097-1753
年,卷(期):2024.41(1)
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