军事应激与入伍新兵胃部幽门螺杆菌感染的关系研究

Research of Correlation between Military Stress and HP Infection in Stomach of PLA Recruits

目的探讨新兵入伍军事训练前后胃部幽门螺杆菌(HP)感染情况。方法抽取某部新兵集训基地参加入伍军事训练的新兵60名,分别在军训前和军训后对其进行症状自评量表(SCL-90)问卷调查、血清皮质醇(COR)检测、HP抗体检测和14C呼气试验。结果入伍新兵军训前SCL-90总均分及各因子分与中国常模比较差异无统计学意义(P>0.05),军训后SCL-90总均分以及躯体化、抑郁、偏执因子分较中国常模升高(P<0.05)。军训后血清COR水平和14C呼气试验值均较军训前升高(P<0.05),军训前后HP阳性率无明显变化(P>0.05)。结论军事应激可致入伍新兵胃部HP定植量增加,感染加重。

Objective To investigate changes of helicobacter pylori（ HP） infection in stomach of PLA recruits before and after military training. Methods A total of 60 recruits participated in the military training in one PLA unit were selected. The Symptom checklist（ SCL-90） questionnaires,the test of serum cortisol（ COR） level,detections of HP antibodies and14C-urea breath were respectively performed before and after the training. Results There were no significant differences in the total SCL-90 score and each factor score of recruits before training,compared with those of the Chinese norms（ P 0. 05）. The total SCL-90 score,scores of somatization,depression and paranoia of recruits after the training were significantly higher than those of the Chinese norms（ P 0. 05）. The level of serum COR and the value of14C-urea breath test after the training were significantly higher than those before the training（ P 0. 05）. There was no significant difference in the HP positive rates in serum between those before and after the training（ P 0. 05）. Conclusion The military stress may increase HP field planting value and aggravate HP infection of PLA recruits.