驻戈壁某部军人应激状态与血压、血糖和血脂相关性的研究

The relationship between stress and blood pressure,blood glucose and blood lipids of soldiers in the gobi

目的探讨驻守戈壁某部军人应激状态与血压、血糖和血脂的关系。方法选择驻守戈壁的某部军人847人进行横断面研究,采用90项症状自评量表(SCL-90)、特质应对方式问卷(TCSQ)[包括消极应对(NC)和积极应对(PC)]和领悟社会支持量表(PSSS)评估其应激状态,测量血压、血糖、血脂相关项目,分别以NC、PC、领悟社会支持程度(PSS)和SCL-90作为解释变量,SBP、DBP、FPG、OGTT2hPG、TC、lgTG、LDL-C和HDL-C作为反应变量,进行直线回归分析。结果研究对象SCL-90总分高于SCL-90中国成人常模(P<0.01)。直线回归分析显示:NC与FPG、OGTT2hPG、TC、lgTG和LDL-C存在线性回归关系(P<0.05),PC与FPG存在线性回归关系(P<0.05),SCL-90与SBP、DBP、OGTT2hPG、TC、lgTG和LDL-C存在线性回归关系(P<0.05)。多元逐步回归分析显示:NC与TC、LDL-C有线性回归关系(β=0.013、0.008),PC与FPG有线性回归关系(β=-0.006),SCL-90与SBP、OGTT2hPG、TC、lgTG、LDL-C有线性回归关系(β=0.014、0.002、0.002、0001、0.001)。结论应激状态是高血压、高血糖和高血脂的一项重要危险因素。

Objective To investigate the relationship between the stress and blood pressure,blood glucose and blood lipids of soldiers in the gobi. Methods SCL-90,TCSQ and PSSS were adopted to assess the stress state of the 847 soldiers stationed in the gobi. Blood pressure,blood glucose and blood lipids were measured, u-test,linear regression and multiple stepwise regression were used to analyze the data. Results In u-test, the SCL-90 scores of the subjects were higher than the norm of SCL-90 Chinese aduh（P〈0.01 ）. Linear regression showed that NC was correlated with FPG, OGTT2hPG ,TC ,lgTG and LDL-C （P〈0.05）, PC was correlated with FPG （P〈0.05）, and SCL-90 was correlated with SBP, FPG, OGTT2hPG,TC, lgTG and LDL-C （P〈0.05）. A further multiple stepwise regression confirmed that SCL-90 was an influencing factor on SBP, OGTr2hPG and lgTG（β=0.014,0.002,0.001 ）, PC was an influencing factor on FPG （β=-0.006）, and SCL-90 and NC were influencing factors on TC and LDL-C （β=0.002,0.001, 0.013,0.008）. Conclusions The stress may play a important role in the increase of blood pressure, blood glucose and blood lipids.