高原地区武警执勤官兵自测健康状况分析与评估

Discussion on self rated health of safeguarding Armed Police soldiers in plateau

目的 了解高原地区武警执勤部队官兵的健康状况.方法 选定475名来自平原地带（海拔高度约50 rn）,驻扎在海拔3600 ～ 4200 m高原地区6个月的武警某部官兵,采用自测健康评定量表SF-36,了解官兵的生理健康、社会健康及精神健康状况;与423名从该地区撤同至相同平原后6个月的武警官兵健康状况比较.结果 不同年龄、不同文化程度、不同级别高原地区执勤官兵自测健康情况存在统计学差异（P＜0.05）.其中,18岁以上组、高中及高中以上组的总体健康、生理健康、社会健康、精神健康评分明显高于18岁以下组和初中及初中以下组;干部组（95.58 ±7.30）和士官组（89.86±12.91）均明显高于义务兵组（86.27±13.68）,差异有统计学意义（P＜0.05）.平原地区部队官兵以上指标评分明显高于高原地区（P＜0.05）.结论 高原地区武警执勤官兵的总体健康良好,但不同年龄、不同文化程度、不同级别的官兵健康状况不同.当脱离该环境后,其健康水平可逐渐改善.

Objective To investigate the self rated health of safeguarding Armed Police Soldiers in the plateau in order to provide more effective hygienic service and ensure soldiers＇ mental and physical health. Methods 475 active duty soldiers who came from the plain with an altitude of about 50 meters and had been in areas with an altitude of about 3600-4200 meters for 6 months were recruited as subjects. By short-form health survey （SF-36） questionnaire, the overall health, physical health, social health and mental health of the soldiers were observed. And, the measured results were compared with those of 423 soldiers who had been withdrawn from those areas to the same plain for 6 months. Results The evaluated scores of each dimension were significantly different in age, educational level and rank of the safeguarding Armed Police soldiers in the plateau （ P 〈 0.05 ）. The scores of the overall health, the physical health, the social health and mental health of the soldiers aged 18 or over and educated from senior high school or above were significantly higher than those of the soldiers under age 18 and senior high school. Meanwhile, these scores in the cadre group and the sergeant group were higher than those in the conscript group, and the scores in the cadre group were superior to those in the control group. Furthermore, the results of sololiers in plain area were significantly better than those of soldiers from plateau area （ P 〈 0.05 ）. Conclusions The overall health of Armed Police Soldiers in the plateau is good, but different age, educational level and rank of the soldiers have different health conditions. The plateau has deep impact on the health of Armed Police soldiers in the plateau area and the health level of the soldiers improves step by step after breaking away from the surroundings.