摘要
目的评价低氧环境对高原部队官兵的心理影响。方法采用症状自评量表（SCL-90）对驻守青藏铁路沿线（海拔2260～4760m）部队官兵行心理行为调查，结果与平原地区对照组、军人常模和全国常模对比。结果青藏铁路沿线官兵（B组、C组）偏执因子及C组敌对因子均低于军人常模，其他因子、总分、平均分和阳性因子数均高于平原组和普通常模（均P〈0．05）；其中躯体化、抑郁、焦虑和精神病性因子显著高于军人常模（均P〈0．05）；入伍2年以上者人际关系、焦虑感、抑郁及平均分均显著高于≤2年者（均P〈0．05），但恐惧因子显著低于≤2年者（P〈0．05）；B组≤2年者躯体化、人际关系、强迫、精神病性和因子总分显著高于C组（均P〈0．05），而B组〉2与C组〉2年者相比，抑郁、焦虑、偏执和因子均分均无显著性统计学意义。结论高原特殊环境对部队官兵心理健康状况有一定影响，且与居留时间成正比，但与海拔梯度无显著相关，如能进行相关的心理干预和自身调整，这种影响是可以改善的。
Objective Evaluate the psychological impact of low oxygen environment to the troops stationed at high altitude areas. Methods Applying the SCL-90, conduct a survey of their psychological behavior on the troops stationed along the Qinghai-Tibet Railway in altitudes between 2,260m and 4,760m above sea level, making the outcomes comparison with the eontrol group on the outcome troops conduct psychological investigations, outcome of the control group on plain, the military normal group and the national ordinary group. Results In addition to paranoia factor, the other factor, the total score, the average point, as well as the positive factors of the officers/soldiers along the Qinghai-Tibet Railway （Group B and Group C） are all higher than the plain and the national ordinary group （P〈0.05）; Factors, such as somatization, compulsion, interpersonal relationship, depression, anxiety and psychotic, are significantly higher than the military normal group （P〈0.05）; Soldiers enlisted for two years or more are significantly higher in interpersonal relationship, anxiety, depression, factor scores, the average point and the positive factors than those of the soldiers enlisted less than two years （P〈0.05）, yet the fear factor of them is significantly lower than that of the soldiers enlisted less than 2 years （P〈0.05）; The somatization, interpersonal relationships, coercion, mental illness and factor scores of Group B are significantly higher than those of Group C （P〈0.05）, and depression, anxiety, paranoia and the factor share has no accountable statistical significance. Conclusions Troops stationed on the unique high altitude are impacted psychologically by the environmental factor with direct proportion in length of time. There is no significant elevation gradient related. However, the impact can be managed with proper psychological interference and self-adjustment.
出处
《中国急救复苏与灾害医学杂志》
2009年第12期962-964,共3页
China Journal of Emergency Resuscitation and Disaster Medicine
