对演习人员心理状况调查分析

目的研究野外条件下实兵对抗演习中参演人员中各类参演人群的心理状况,以减少官兵因焦虑、抑郁等情绪在军事行动中引起的非战斗性减员。方法应用症状自评量表（SCL-90）对某兵站实兵对抗121名参演人员进行了焦虑、抑郁等情绪相关测试和分析。结果兵站人员的躯体化、抑郁及焦虑因子分值高于军人常模（P〈0.05）,非现役文职人员的症状总分高于兵站干部、士兵（均P〈0.05）,其中焦虑、恐怖及敌对3个因子分值高于干部、士兵（均P〈0.05）,士兵的各项得分与干部无明显差异（均P〉0.05）。结论对抗演习可使参演人员心理状况低下,心理问题的发生与环境的改变和人员身份类别有一定关系。     

Plasma dihydroxyphenylalanine (DOPA) is independent of sympathetic activity in humans

To clarify the origin of plasma DOPA (3,4-Dihydroxyphenylalanine), the relationship between plasma DOPA and acute or chronic changes in sympathetic activity has been studied. Plasma DOPA and noradrenaline (NA) concentrations were measured by reverse-phase high-performance liquid chromatography with electrochemical detection. Administration of clonidine to healthy men decreased plasma NE markedly compared to no drug. Plasma DOPA decreased slightly but significantly with time, but values were identical after clonidine compared to no drug. Baseline plasma NE concentrations were significantly reduced in diabetic patients with autonomic neuropathy compared to diabetics without neuropathy, whereas baseline plasma DOPA concentrations were similar in the three groups investigated: 6.55 (5.03-7.26, median [interquartile range], n = 8) nmol l-1 in diabetics with neuropathy, 7.41 (5.79-7.97, n = 8) nmol l-1 in diabetics without neuropathy, and 6.85 (5.58-7.36, n = 8) nmol l-1 in controls. No relationship was obtained between baseline values of plasma NE and plasma DOPA. Plasma DOPA did not change in the upright position, whereas plasma NE increased significantly. Our results indicate that plasma DOPA is not related to sympathetic activity and may be of non-neuronal origin.     

盐酸戊乙奎醚联合深呼吸法对全麻诱导期芬太尼诱发咳嗽反应的影响

目的观察盐酸戊乙奎醚联合深呼吸法抑制麻醉诱导时芬太尼诱发的咳嗽反应(FIC)的有效性和安全性。方法选择行全身静脉麻醉的择期手术患者200例,随机分为四组,每组50例。H组在静脉推注芬太尼前,行深呼吸训练2次,做完深呼吸后立刻静注芬太尼;P组在静注芬太尼前10min静脉给予盐酸戊乙奎醚0.01mg/kg;HP组:在静注芬太尼前10min静脉给予盐酸戊乙奎醚0.01mg/kg,同时行深呼吸法训练,患者做完深呼吸后立即静注芬太尼;N组按一定的顺序进行静脉快速诱导。所有患者麻醉诱导时均推注芬太尼4μg/kg,时间5s。记录患者静注芬太尼后1min内咳嗽反应(FIC)发生率、咳嗽发生时间及严重程度。结果咳嗽发生率H组6例(12%)、P组5例(10%)、HP组2例(4%)、N组18例(36%),H组、P组、HP组咳嗽发生率明显低于N组(P0.05),四组咳嗽程度、咳嗽发生时间差异无统计学意义。四组术后恶心、呕吐、咳嗽、咳痰等不良反应差异无统计学意义。结论静注芬太尼前予以盐酸戊乙奎醚与深呼吸联合能有效抑制FIC的发生。     

信息化卫勤演练模式设计与应用

本文分析了卫勤演练的现状,针对存在的问题,从演练内容、方法和工具3方面设计了信息化卫勤演练新模式,将卫勤指挥与分队保障相结合,网上演练与实兵演练相结合,突出了信息化装备的使用。通过在院校卫勤教学中的应用,推动了院校教育向信息化条件下转变,探索了信息化条件下的联合卫勤保障新模式。