舰队远航对女学员内分泌系统的影响

Effect of prolonged deployment at sea on the endocrine system of female cadets

目的对初次参加舰队远航的女学员月经情况、经前期综合征及女性激素水平进行研究,以了解远航对女性内分泌系统的影响。方法对大连舰艇学院、海军工程大学女学员共20人在航海前3个月、航海过程中3个月及返航后后3个月的月经情况、经前期综合征及女性激素水平进行对比研究,并作统计学分析。结果女学员航海过程中较航海前月经紊乱明显增多,差异有统计学意义(P<0.05),孕激素水平降低人数明显增加,差异有统计学意义(P<0.05),返航后较航海过程中月经紊乱明显减少,差异有统计学意义(P<0.05),孕激素水平正常人数明显增加,差异有统计学意义(P<0.05),返航后与航海前女学员月经紊乱比较差别无统计学意义(P>0.05)。经前期综合征症状在航海前、航海过程中及返航后均无明显差异(P>0.05)。结论远航对女性内分泌系统有一定影响,大部分为无排卵性功能失调性子宫出血,如果加强饮食和心理调节,大部分女性月经紊乱可以恢复正常。

Objective To investigate the menstruation, premenstrual syndromes and female hormone levels of female cadets deployed at sea for the first time, and also to know the effect of prolonged sea deployment on the endocrine system of female cadets. Methods Comparative analyses were made on the menstruation, premenstrual syndromes and female hormone levels detected 3 months before deployment, 3 months during deployment and 3 months after deployment in 20 female cadets from the I）alian Naval Academy and the Naval Engineering University, and statistical analyses were also made concerning the subject. Results During deployment at sea, the number of female cadets with menstrual disorder increased markedly, when it was compared with that of pre-deployment （P 〈 0. 05 ）. The number of female cadets with decreased progestational hormone level increased significantly（ P 〈 0.05 ）. After debarkation, the number of female cadets with menstrual disorder decreased obviously, when it was compared with that during deployment （ P 〈 0. 05 ）, and the number of females with normal progestational hormone level increased markedly（P 〈 0.05）. No statistical significance could be noted in menstrual disorder, when a comparison was made between after debarkation and pre-deployment （P 〉 0.05 ）. Statisti- cal significance in premenstrual syndrome could neither be seen, when a comparison was made between pre-deployment, during deploy- ment and after debarkation （P 〉 0.05）. Conclusion Prolonged deployment at sea had certain effect on the female endocrine system, which was in most cases anovulatory dysfunctional uterine bleeding. Menstrual disorder in most females could be recovered with diet and psychological adjustment.