25680名军人手汗症患病情况及心理健康分析

Prevalence of palmar hyperhidrosis and mental health status analysis among 25 680 soldiers

目的 对某战区官兵手汗症患病情况进行初步调研,并分析其对军人心理健康的影响.方法 采用分层整群随机抽样选取某战区部分官兵26 392人作为研究样本,采用自编的“手汗症调查问卷”进行现场问卷调查,并对官兵进行症状自评量表（SCL-90）测评,将测评结果与中国常模和军人常模比较.结果 收回合格问卷25 680份,有效率97.3％.共检出手汗症患者683例,总患病率2.66％,其中轻、中、重度手汗症患病率分别为1.49％、0.83％和0.34％.手汗症军人SCL-90总均分[（1.72±0.54）分]高于非手汗症军人[（1.65±0.58）分]、全国常模[（1.49±0.41）分]和军人常模[（1.63±0.30）分],差异有统计学意义（P＜0.05）.在多元逐步回归分析中,年龄、受教育年限和手汗症程度是影响手汗症军人心理健康状况的重要因素（P＜0.05）.结论 手汗症在军人中较多见,严重影响患病官兵的心理健康,卫生勤务部门应重视手汗症的治疗和心理干预.

Objective To investigate palmar hyperhidrosis （PH） and the effects on mental health in a military command.Methods 26 392 soldiers were enrolled in this study by stratified-cluster random sampling.Each was required to complete a self-administered questionnaire regarding PH.The soldiers were assessed with symptom checklist-90 （SCL-90） and the factor scores were compared with army norm and civilian norm.Results A total of 25680 subjects fulfilled the questionnaires,and the response rate was 97.3%.The prevalence of PH in the survey sample was 2.66% and the mild,moderate,and severe PH were 1.49%,0.83%,and 0.34%,respectively.The total mean score of SCL-90 in soldiers with PH （1.72±0.54） was higher than those none PH soldiers （1.65±0.58）,civilian norm （1.49±0.41） and military norm （1.63±0.30）.Multiple regression analysis showed that age,level of education and severity of PH were important factors for mental health of soldiers with PH （P〈0.05）.Conclusion PH is more common in the military,which affect the mental health.The health service departments should pay attention to the treatment and psychological intervention of PH.