海南驻岛部队官兵慢性疲劳综合征流行病学调查及影响因素分析

Epidemiological investigation of chronic fatigue syndrome among the military personnel in Hainan Island and analysis of risk factors

目的调查海南驻岛部队官兵慢性疲劳综合征(chronic fatigue syndrome,CFS)的发病率及相关影响因素。方法2018年6月至2019年6月,采用随机整群抽样方法,抽取驻海南岛的海、陆、空8个单位共423名集中体检的官兵展开现场问卷调查并分析影响因素。剔除无效问卷后,回收有效问卷313份,有效率占74%。首先根据问卷调查结果进行初筛,再结合体格检查、实验室检查及后续1个月的电话随访,最后确诊是否为慢性疲劳综合征,并分析慢性疲劳综合征附加症状及影响因素。结果海南驻岛部队官兵的慢性疲劳综合征发病率为13.4%,记忆力下降或注意力不集中是最常见的症状。慢性疲劳综合征的官兵发生胸闷/胸痛、心慌/心悸、头晕/晕倒及上腹部不适的比例明显高于无慢性疲劳综合征的官兵(P<0.05)。慢性疲劳综合征的发生与训练强度大、睡眠质量差和值夜班有关(P<0.05)。结论慢性疲劳综合征的官兵容易出现心血管、神经系统、消化系统等不适;训练强度大、睡眠质量差及值夜班是慢性疲劳综合征的主要影响因素。

Objective To investigate the prevalence rate of chronic fatigue syndrome(CFS)among the military personnel in Hainan Island and analysis of risk factors.Methods From June 2018 to June 2019,an on-site questionnaire survey was performed among 423 military personnel from 8 units of the Navy,Army and Air Force in Hainan by random cluster sampling,and influential factors were analyzed in the process.After deletion of invalid ones,313 valid questionnaires were recovered,with a valid rate accounting for 74%(313/423).Final diagnosis of CFS was confirmed,in accordance with initial screening of the survey results combined with the physical examination and laboratory test results,as well as medical follow-ups by telephone in subsequent one month.Then,analyses were made in additional symptoms and influencing factors of chronic fatigue syndrome.Results The incidence of chronic fatigue syndrome among the military personnel was 13.4%,with memory loss or attention deficit being the most common symptoms.The proportion of CFS among the military personnel with chest distress/chest pain,cardiopalmus/palpitation,dizziness/fainting and upper abdominal discomfort were significantly higher than that without CFS(P<0.05).The incidence of CFS was closely related to high intensity training,poor sleep and night shift(P<0.05).Conclusion The military personnel with CFS are more susceptible to cardiovascular,central nervous and digestive system discomforts.High intensity training,sleep disorder and night shift are the major risk factors of CFS.