高原边防军人和汽车军人慢性疲劳综合征的比较研究

Chronic fatigue syndrome in plateau border soldiers and truck soldiers

目的:调查高原边防军人和高原汽车军人慢性疲劳综合征(chronic fatigue syndrome,CFS)的流行现状和分布特征,探索CFS的相关因素。方法:选取某部高原边防军人和某部高原汽车军人共717名进行问卷调查。获取有效问卷661份,包括一般情况调查表和CFS自评表。心理科医师对可疑CFS者进行回访以明确诊断。结果:受试对象CFS的发生率为27.2%。单因素及多因素分析均显示不同民族、教育程度以及身体质量指数CFS患病率无明显差异(P>0.05),但不同年龄、军龄CFS患病率具有明显差异(P<0.05),且随着年龄、军龄的增高,患病率升高。平原汽车军人CFS患病率低。结论:高原边防军人和高原汽车军人CFS患病率较高,年龄和军龄与CFS发生率有关,高原的特殊环境可能是导致CFS发病率增高的主要因素之一。

Objective：To investigate the prevalence and distribution of chronic fatigue syndrome（CFS）in plateau border soldiers and truck soldiers,and to explore the relevant factors for CFS.Methods：A total of717 plateau border soldiers and truck soldiers were submitted to this study and the valid questionnaires were obtained from 661 subjects,including general questionnaire form and self-assessment CFS form.The diagnosis of CFS was made by psychological physicians by visiting the suspicious subjects.Results：The prevalence rate of CFS in plateau subjects was 27.2%.Single factor and multiplicity analysis showed that there were no significant differences in CFS incidence among different ethnic groups,educational level and body mass index groups（P0.05）,but there were obvious differences in CFS incidence among different age groups and length of military service groups,with higher CFS incidence rate in elder soldiers（P0.05）.The plain truck soldiers had lower risk of CFS.Conclusion：The CFS risk is higher in plateau border soldiers and truck soldiers,related with age and length of military service,the special environment of plateau is probably one of the main factors lead to increased incidence of CFS.