南沙守礁官兵身心健康状况及医疗卫生保障研究

目的探讨南沙守礁官兵健康干预前后身心状态变化。方法2002年1月-2006年12月对南沙守礁官兵进行综合干预，在干预前后采用症状自评量表（SCL-90）对干预对象进行测评，同时调查2周患病率、膳食营养、体质指数．测定血清总甲状腺素（TT4）、总三碘甲状腺原酸（TT3）、睾酮、皮质醇、维生素A及尿液维生素B1、B2、C含量。结果2周患病率干预前为32．21％，干预后为23．37％，P〈0．05；体质指数正常率由干预前的51．84％升至干预后的70．66％，P〈0．05；干预后膳食能量、三大产能营养素及维生素摄入量趋于合理，体内维生素B1、B2低于正常标准的检出率分别由干预前的85．56％和72．78％降至11．11％和9．44％，P〈0．01；SCL-90各因子分、总均分和阳性项目数均明显低于干预前（均P〈0．001），TT4水平显著高于干预前（P〈0．01），睾酮、皮质醇水平显著低于干预前（P〈0．001）。结论综合性的干预措施，强有力的医疗卫生保障．能提高守礁官兵身心健康水平。

Research of physical-psychological health status and medical protection of garrison at the reef in South China Sea

Objective To explore the physical-psychological changes of garrison at the reef in South China Sea before and after health interventions. Methods Hundreds garrison at the reef in South China Sea were investigated by self-rating symptom scale (SCL-90)as well as the two-week prevalence rate,meal nutrition before and after interventions. The body mass index,the serum levels of tetraiodothyronine(TT4),total triiodthyronine(TT3),testosterone(Testo),cortisol,vitamin A and the vitamin B1,B2 and C of urine were mea...