乳清蛋白治疗高原汽车驾驶人员慢性疲劳综合征的疗效观察

Effect of whey protein on the rehabilitation of plateau truck soldiers with chronic fatigue syndrome

目的探讨乳清蛋白对患有慢性疲劳综合征（chronic fatigue syndrome,CFS）的高原汽车驾驶人员的康复作用。方法选取新疆军区某部高原汽车驾驶人员268名,根据美国疾病控制中心1994修订的CFS诊断标准,通过CFS自评表进行调查,再由心理科医师对可疑CFS患者进行回访以明确诊断,筛选出CFS患者62名,将其中50名高原汽车驾驶人员分为5组,每组10名。除空白对照组外,4组患者分别接受不同的抗疲劳治疗：补充乳清蛋白、补充铁剂、心理干预及综合治疗（同时补充乳清蛋白、铁剂及心理干预）。用疲劳量表14（the Fatigue Scale-14,FS-14）评定干预前、干预后1周及2周分值。结果CFS患病率为23.1%（62/268）。对照组、接受乳清蛋白治疗和综合治疗的患者在不同时间点的疲劳程度不同,差异有统计学意义。对照组疲劳评分呈增加趋势,乳清蛋白治疗和综合治疗组疲劳评分呈降低趋势,体力疲劳和脑力疲劳评分分别下降44.6%-47.6%和60.5%。而心理治疗、铁剂治疗前后疲劳评分改变差异无统计学意义。结论高原汽车驾驶人员患CFS值得关注,口服乳清蛋白可在一定程度上减轻CFS。

Objective To explore the efficacy of whey protein on the rehabilitation of chronic fatigue syndrome（ CFS） in truck soldiers on the plateau. Methods Two hundred and sixty-eight of plateau truck soldiers were selected from Xinjiang Military Command,according to the centers for disease control symptoms of diagnostic criteria specified in the revision of the CFS of 1994. Sixtytwo CFS patients were screened by investigation of the CFS self-evaluation table and diagnosed by psychological practitioner for suspicious CFS again one by one. Of which,50 plateau truck troops were divided into 5 groups,each group contained 10 soldiers,one group used as blank control,the rest of the four groups of CFS soldiers fatigue treated respectively（ supplement whey protein,iron treatment,psychological treatment and comprehensive treatment）. Among them,the comprehensive treatment for added whey protein,iron,and psychological intervention treatment. With the Fatigue Scale-14（ FS-14） intervention before and after the intervention for 1 week and 2weeks after intervention. Results CFS detection rate was 23. 1%（ 62 /268） in the control group,treated with whey protein and comprehensive treatment of soldiers at different time points of fatigue degree is different,and the difference was statistically significant. The control group after the intervention fatigue rating increased,whey protein therapy and comprehensive treatment,showed a trend of reducing fatigue conditions. In terms of physical and mental fatigue rating,whey protein therapy and comprehensive treatment,showed a trend of decrease fatigue condition,the two groups after intervention in physical and mental fatigue rating fell 44. 6%- 47. 6% and 60. 5%,compared with before,the mental fatigue level to improve the highest. And psychological treatment,iron fatigue scores before and after the treatment there was no statistically significant difference change. Conclusion Plateau truck soldier CFS issues of concern,whey protein and comprehensive therapy can alleviate to some extent the fatigue score CFS patients. Whey protein plays a major role in the treatment of the plateau truck soldiers CFS.