某部官兵急性高原反应与心理健康状况关系抽样调查

Sampling Survey of the Relationship Between Acute Mountain Sickness and Mental Health of Officers and soldiers

目的对某部官兵急性高原反应（AMS）与心理健康状况的关系进行抽样调查，为其心理预防和疏导提供理论指导。方法2017年5月，选择高原地区某部队61名官兵作为研究对象，并根据急性高原反应症状分度评分表的调查结果分为AMS组（35人）和无AMS组（26人），再利用症状自评量表测评其心理健康状况。结果AMS组总分（105．20±13．82）、躯体化因子分（1．37±0．26）、人际关系敏感因子分（1．14±0．21）、忧郁因子分（1．16±0．19）、焦虑因子分（1．16±0．18）、恐怖因子分（1．06±0．11）、偏执因子分（1．10±0．17）、其它因子分（1．22±0．19）均明显增高，差异有统计学意义（P〈0．05）。结论官兵躯体化、人际关系敏感、忧郁、焦虑、恐怖、偏执、其他等心理因子对急性高原反应有明显影响，应针对其进行心理干预，提高个体的抗应激能力，保障高原军事任务顺利完成。

Objective To sample survey the relationship between acute mountain sickness and mental health of officers and soldiers, so as to provide theoretical direction for the psychological prevent and counsel of them. Methods In May 2017, 61 officers and soldiers were selectedas subject investigated, and divided to AMS group ineluded 35 persons and non-AMS group included 26 persons according to the finding of theAMS symptom division point table, then used symptom self-testing tableto test and evaluate the mental health of them. Results The AMS group showed significantly higher scores on the psychological parameters such as omatization, interpersonal sensitivity, depression, anxiety, phobicanxiety, parnoid ideation and so on （105.20± 13.82,1.37±0.26,1.14±0.21,1.16±0.19,1.16±0.18,1.06±0.11,1.10±0.17, 1.22±0.19, P〈0.05）. Conclusion The mental factors of omatization,interpersonal sensitivity, depression, anxiety, phobic anxiety, pamoid ideation and so on had great influence on AMS, we should pay attention to these factors and carry on mental intervention, and enhance anti-stress ability of individual, to ensure the successful completion of plateau milita17 mission.