驻戈壁沙漠汽车兵睡眠质量相关因素的研究

目的探讨驻戈壁沙漠汽车兵睡眠质量的影响因素。方法随机整群抽样,抽取某部驻戈壁沙漠汽车兵700人,用匹兹堡睡眠质量指数(PSQI)、症状自评量表(SCL-90)、状态-特质焦虑问卷(STAI)、艾森克个性问卷(EPQ)和自测健康评定量表(SRHMS)分别测评其睡眠质量、心理健康水平、个性及其相关性。结果(1)有效问卷681份,睡眠质量差者166人,占总调查人数的24.38%。(2)睡眠质量差者SCL-90总分及各因子分、SAI、TAI、N、P分值均显著高于睡眠质量可者。健康总体自测、生理健康、心理健康及社会健康分值均显著低于睡眠质量可者。(3)回归分析PSQI分值与SCL-90总分、恐怖、精神病性、神经质、焦虑、偏执、特质焦虑、敌对、人际关系及掩饰性有相关性。结论驻戈壁沙漠汽车兵睡眠质量的主要影响因素为心理健康状况、特质焦虑及掩饰性等。     

倒班军人睡眠质量与心理健康的相关性研究

目的探讨倒班军人睡眠质量与心理健康的关系。方法采用匹兹堡睡眠质量指数(PSQI)和症状自评量表(SCL-90)问卷对驻京113名从事倒班工作的军人进行调查。结果倒班军人PSQI总分为6.82±3.56。以PSQI总分≥8分作为判断睡眠质量存在问题的标准,有37.17%的倒班军人存在睡眠质量问题,主要体现在入睡时间(51.3%)、睡眠效率(36.3%)和睡眠质量(34.5%)成分上。影响倒班军人睡眠质量的主要问题为入睡困难、夜间易醒或早醒,其>1～2次/周的百分比分别为38.9%和29.2%。倒班军人PSQI总分及大多数成分与SCL-90各因子及总均分呈显著性正相关。结论部分倒班军人的睡眠状况较差。睡眠质量与心理健康相关。     

新兵集训前心理健康状况和睡眠质量对训练成绩的影响

目的探讨集训前心理健康因素和睡眠质量因素对新兵集训成绩的影响。方法以500名集训新兵为研究对象,于参训第1周采用症状自评量表(Symptom Checklist-90,SCL-90)和匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)分别评估受试者的心理健康状况和睡眠质量,于参训第3周选择6项军事训练项目进行考核,分析考核成绩合格、不合格两组间SCL-90和PSQI值的差异。结果引体向上、俯卧撑成绩合格组SCL-90总分和部分因子分比不合格组高(P<0.05或P<0.01),防护、战术动作、投弹和3000m跑4项考核成绩组间SCL-90总分和全部因子分差异无统计学意义(P>0.05),所有考核项目成绩组间PSQI和7项成分分值差异无统计学意义(P>0.05)。结论集训前心理健康状况对新兵集训成绩有一定的影响。     

维稳武警官兵睡眠质量及心身健康水平调查与分析

目的：调查分析维稳武警官兵睡眠质量及心身健康水平。方法：采用匹茨堡睡眠质量指数量表（PSQI）和症状自评量表（SCL-90）,对首次执行维稳任务的某部武警官兵220例睡眠质量及心身健康水平进行调查。结果：维稳武警官兵PSQI总分值及各因子分值均显著或非常显著高于中国青年常模（P〈0．05,P〈0．01）;SCL-90躯体化、强迫症状、抑郁、焦虑、敌对及精神病性因子分值均显著或非常显著高于中国青年常模（P〈0．05,P〈0．01）;Pearson分析结果显示,维稳武警官兵PSQI总分、主观睡眠质量、睡眠紊乱及白天功能紊乱与SCL-90各因子分值相关。结论：维稳武警官兵睡眠质量及心身健康水平显著低于中国青年常模;其睡眠质量与心理健康水平相关。     

陆军某部官兵非特异性功能性肠病临床特征分析

目的 调查陆军某部官兵非特异性功能性肠病(UFBDs)的临床表现、重叠功能性胃肠病(FGIDs)的特点及其与心理和睡眠的关系.方法 应用FGIDs罗马Ⅲ调查问卷进行FGIDs的分类和诊断.将诊断为UFBDs的官兵189例列入UFBDs组,无FGIDs的官兵372例列入对照组.应用SCL-90量表测评心理因素,采用匹兹堡睡眠质量指数(PSQI)量表评价睡眠状况.结果 UFBDs的最常见症状是一有便意就要立刻上厕所,发生率高达93.7%,超过50%的UFBDs患者可见排便不净和排便费力.28%的UFBDs重叠FGIDs,重叠率最高的疾病为痉挛性肛门直肠疼痛(7.9%),其次为周期性呕吐综合征(6.3%)、功能性大便失禁(6.3%)、功能性消化不良(4.8%)和嗳气(4.8%).UFBDs组SCL-90量表的10个因素评分及总分明显高于对照组(P<0.05),睡眠质量、入睡时间、睡眠障碍、日间功能障碍得分、PSQI总分及睡眠异常比例均明显高于对照组(P<0.05).重叠FGIDs组与单一UFBDs组相比,除恐怖因素以外SCL-90其余9个因子评分及总分均明显升高(P<0.05),而PSQI各因子分、总分及睡眠异常比例差异无统计学意义(P>0.05).结论 UFBDs的发病可能与精神、心理、睡眠因素密切相关,重叠FGIDs可伴随精神、心理问题加重.     

透析患者心理健康状况临床分析

目的以症状自评量表(SCL-90)、艾森克人格问卷(EPQ)、抑郁自评量表(SDS)为指标,探讨腹膜透析和血液透析患者的心理健康状况。方法选我院随访的腹膜透析和血液透析患者各64例,健康体检人群中选取64例作为对照组,以SCL-90,EPQ,SDS为测量工具,研究3组人群的焦虑、抑郁等心理状态。结果透析患者躯体化、抑郁、焦虑因子分显著高于对照组,抑郁问卷标准分及抑郁指数显著高于对照组,其情绪不稳定,遇到刺激有强烈情绪反应。结论进行透析的同时,应兼顾患者的情感反应和情绪障碍的治疗,改善其心理健康状况,提高患者生活质量。     

某工程部队士兵心理健康水平调查分析

目的调查分析某工程部队士兵心理健康水平。方法采用症状自评量表(SCL-90)对某工程部队784名士兵进行心理健康水平进行调查分析,并与中国军人常模比较。结果共筛查出阳性261例,阳性率为33.29%。某工程部队士兵SCL-90总分和强迫症状、人际敏感、抑郁、焦虑、偏执、精神病性因子分值低于中国军人常模(P<0.01),躯体化因子分值高于中国军人常模(P<0.01),而敌对和恐怖因子分值与中国军人常模比较,差异无统计学意义(P>0.05)。农村士兵SCL-90总分及各因子分值与城镇士兵相比,差异无统计学意义(P>0.05);独生子女士兵除躯体化外,SCL-90总分及其余8项因子分值均高于非独生子女士兵(P<0.05,P<0.01);每日作业时间≤6 h的士兵SCL-90总分及各因子分值均低于作业时间>6 h的士兵(P<0.01)。结论某工程部队士兵整体心理健康状况较好,应针对部分高分因子(躯体化)和特定人群(独生子女士兵、作业时间较长士兵)进一步加强心理干预。     

驻戈壁沙漠汽车兵心理健康状况对其作业能力的影响

目的了解驻戈壁沙漠汽车兵心理健康状况对其作业能力的影响。方法随机抽取某部驻戈壁沙漠汽车兵700人测试心理健康状况(SCL-90),根据结果再次随机选择164名参加作业能力的相关测试,其中心理健康状况差(试验组)41名和心理健康状况可(对照组)123名。结果与对照组比较,试验组划销及再认测验分数明显降低(P<0.05),数字广度测验分数比较无差异(P>0.05)。结论驻戈壁沙漠汽车兵睡眠质量心理健康状况对作业能力有一定影响。     

脑震荡129例匹兹堡睡眠质量指数调查

 目的 调查脑震荡患者病情平稳后的匹兹堡睡眠质量指数,研究其规律性.方法 129例脑震荡患者出院前分别接受了匹兹堡睡眠质量指数问卷(Pittsburgh Sleep Quality Index,PSQI)、疼痛主诉分级测量(Verbal rating scale ,CVRS)和汉密尔顿抑郁量表(Hamilton Depression Rating Scale for Depression,HAMD)评估,并与同期健康体检者(对照组,78例)进行比较.结果 129例脑震荡患者中有51例(39.53%)存在睡眠障碍(PSQI总分≥8),明显高于对照组(15例,19.23%)(χ2=8.266,P＜0.01).在PSQI比较中,脑震荡组的睡眠质量、入睡时间、睡眠效率、睡眠障碍、催眠药物、日间功能和PSQI总分均明显高于对照组(P＜0.01～0.05).疼痛程度重组(CVRS≥1.98,58例)的睡眠质量、入睡时间、睡眠效率、睡眠障碍、催眠药物、日间功能和PSQI总分均明显高于疼痛程度轻组(P＜1.98,71例)(P＜0.01～0.05).脑震荡合并抑郁患者的睡眠质量、入睡时间、睡眠效率、睡眠障碍、催眠药物、日间功能和PSQI总分均明显高于无抑郁患者(P＜0.01～0.05). 结论脑震荡患者有明显的睡眠质量下降,后者常与病后疼痛和抑郁情绪表现密切相关.     

某部海勤官兵睡眠质量及其影响因素调查与分析

目的：调查了解某部海勤官兵睡眠质量及其影响因素。方法：采用匹兹堡睡眠质量指数量表(PSQI)和症状自评量表(SCL-90)对海勤官兵488例进行睡眠质量及心理健康水平测评,并分析其影响因素。结果：海勤官兵睡眠好128例,占26.2％;睡眠一般294例,占60.2％;睡眠差66例,占13.6％。睡眠好的海勤官兵SCL-9...     

Optimization of the system of medical service of students of Cadet Schools of the Ministry of Defense of the Russian Federation

One of the factors of the successful military career guidance Cadet schools students is preserving and promoting their health. Medical support of children and adolescents aged 10-17 years should include the full range of medical and preventive measures defined for this group. The state of providing outpatient care for pupils at the Cadet School in St. Petersburg was studied. These results show that full medical care in accordance with the standards can be based only on children's health clinics. It is important that the organization of medical support pupils cadet schools should be cooperate with civilian health care.     

带状疱疹83例误诊原因分析

带状疱疹是由水痘—带状疱疾病毒引起的皮肤科常见疾病。其主要的病理损害,一是受累神经的严重炎症性浸润,继而导致受侵犯神经节内神经细胞变性、坏死;二是皮肤的水泡。迅速抑制神经节和相应的感觉神经纤维的充血、水肿和坏死,防止粘连形成,达到迅速镇痛、改善皮损,缩短病程及防止后遗症的发生是治疗的关键。因而,尽早明确诊断,     

Estimation of accumulated dose of radiation by method of ESR-spectrometry of dental enamel of mammals

ESR-spectrometry was used to investigate radiation-induced paramagnetic centers in enamel of mammals: carnivores (polar bear and fox), ungulates (reindeer, European bison, moose), and man. Values at half the microwave power saturation of the radiation signal, P_1/2, evaluated at room temperature, was found to range from 16 to 26 mW for animals and man. A new approach to discrimination of the radiation induced signal from the total ESR spectrum of reindeer enamel is proposed. ‘Dose-response’ dependencies of enamel of different species mammals were measured within the dose range from 0.48 up to 10.08 Gy. Estimations of ‘radiosensitivity’ enamel of carnivores and ungulates showed good agreement with radiosensitivity enamel of man by ESR method.     

Analysis of the results of the international comparison of activity measurements of a solution of Fe

The results of an international comparison of activity measurements of a solution of ⁵⁵Fe organized by the BIPM in 2005 are reported and analysed. This exercise, which follows the procedures of the CIPM mutual recognition arrangement to update older comparisons, is a renewal of the comparison organized by the BIPM that took place in 1978. A EUROMET comparison was organized in 1996 specifically to compare activity measurements of a ⁵⁵Fe solution by means of liquid-scintillation techniques. Results of these three comparisons are presented and discussed in this paper.

The radionuclide solution was provided by the NPL, which also distributed the samples to the participants. The activity of the ampoules was measured by 16 laboratories using 12 methods producing 25 results. Some general considerations on uncertainty assessments pertaining to the different techniques used are drawn. The outcome of four different estimators is compared from which the presence of at least one outlier can be confirmed. Further measurements should be made to try to reduce the discrepancy between the results. To date the outcome of the present comparison does not show an improvement to that of the 1996 comparison.     

Evaluation of the results of various technics of non-surgical therapy of varicocele

A new method of non-surgical treatment of varicocele syndrome is described: it consists in sclerotherapy of spermatic vein by trans-femoral percutaneous catheterization with balloon-catheters. In 8 cases venous thrombosis has been induced by direct electric clotting. The techniques and a 6 months follow-up are discussed. It is pointed out that this procedure should be considered as the method of choice for tubular lesions and sub-fertility prophylaxis in young people and in childhood.     

延迟性脾破裂误漏诊原因分析

目的探讨延迟性脾破裂误漏诊原因和预防措施.方法回顾性分析总结12例延迟性脾破裂中的诊断和误漏诊的经验与教训.结果本组延迟性脾破裂的误漏诊5例(41.66%).对多发伤与脾破裂并存可能认识不足,外伤史轻微或伤员隐瞒外伤史,缺乏腹痛-缓解-突然再腹痛的典型病史,缺乏“对冲性脾破裂”力学分析和整体化诊断思路等为其误漏诊的主要原因.结论详细的外伤史和全面系统检查,重视腹以外多发伤掩盖腹内脏器伤及延迟性脾破裂可能.确立外伤-腹内脏器伤-脾破裂整体化诊断思路.不间断地辅以B超检查脾形态学变化和腹内有无积液,腹腔穿刺确定有无血腹、X线胸腹部检查观察左侧胸肋角和膈肌运动情况、必要时CT检查以尽早发现脾包膜下血肿,降低延迟性脾破裂误漏诊率.