新疆北部寒区241名驻城镇军人冬季睡眠异常及相关状况调查分析

目的词查新疆北部寒区驻城镇军人睡眠异常和睡眠疾病发生情况及对部队战斗力的影响。方法用国际通用的调查量表自制成问卷。采用问答的形式进行调查，在军医指导下现场同步填写。结粜241名驻城镇军人中睡眠异常者212人，占88．0％，按发病率高低前10种睡眠异常和睡眠疾病依次为失眠、睡眠不足综合征、鼾症、睡眠梦语症、睡眠梦魇症、睡眠遗精症、睡眠时相延迟综合征、睡眠肌痉挛综合征、睡眠不安腿综合征、倒班综合征。按睡眠异常对战斗力的影响前10种情况依次为影响白天精力、影响情绪、体力、学习、思维、站岗、训练、食欲、成绩、出操。驻城镇军人PSQI总均分为6．10±3．26，以PSQI〉7为界值，失眠发生率29．0％。从影响驻城镇军人睡眠质量的因素来看，睡眠环境内部影响因素为居室人多、室友磨牙和换哨，睡眠环境外部因素影响以噪声为主。影响睡眠的其他因素主要为个人因素、战友、生病、心理因素及上级批评、压力过大、辛苦劳累。睡眠剥夺以工作加班为主。按照Athena失眠量表〉6分失眠发生率为19．9％。睡眠质量自测〉20分严重睡眠障碍者占．17．0％。思睡总均分为7．21±4．41，高于正常值，思睡者近50％。驻城镇军人存在着不良睡眠卫生意识和习惯：没有良好的睡眠习惯；睡前进行不利于睡眠的活动；睡前不良嗜好；睡眠环境不佳。结论驻城镇军人的睡眠质量、睡眠影响因素、失眠、思睡和睡眠卫生意识等方面不容乐观，应引起卫生部门及军事部门的足够重视，积极采取干预措施改善驻城镇军人的睡眠质量。

Investigation of Winter Parahypnosis and Correlated State in 241 Urban Soldiers in Cold Northern Xinjiang

Objective To investigate the status of parabypnosis and somnus disease in urban soldier in winter at cold region in northern part of Xinjiang, and its affect on their combat ability. Methods Self-made questionnaire that came from global measuring Scale was used in the investigation, Results There were 212 soldiers who had parahypnosis among241 urban soldiers,and the total incidence of parabypnosis was 88.0%. According to incidence of parabypnosis and somnus disease, the 10 leading diseases were listed as follow： insomnia （42.8%） ,insufficient sleep syndrome （42.8%）, snore （41. 5% ）, hypno-sonmiloquism （31.5%）, hypno-nightmare （ 29.5 % ） , hypno;emisslons （ 29.1% ） , delayed sleep phase syndrome （ 25.8 % ） , hypno-muscle spasm symptom complex （23.2%） , sleep restless legs syndrome （22.9%） ,upside down shift syndromeS（ 19.9% ）. According to the incidence of parabypnosis and somnus disease that affect fight ability, the 10 conditions standing as follow： daytime stamina, emotion, physical strength, learning, thought, standing guard, training, appetite, performance record and morning exercise. The total equipartition of the 241 urban soldiers was 6.10 ± 3.25. The total incidence of insomnia was 29.0% PSQI 〉 7 as critical value. Sleep influential factor of urban soldiers in winter could be divided into internal hypno-environment factor, external hypno-environment factor and other factors. The internal hypno-environment factor included too many people in one dorm, odontoprisis of roommates ahd changing duty to sentry. The external hypno-environment influential factor was mainly acoustical noise. The other factors were mainly individual factor, comrade factor, getting sick, mental factor, criticism of higher authorities, higher pressure and exertion. Sleep deprivation was mainly due to overtime work . The total incidence of insomnia in the 241 soldiers was 19.9% （ AIS 〉 6 according to Athens insomnia scale）. The total incidence of severe insomnia was 17.0% （ 〉 20 by Sleep Quality Self-measuring scale）. The total equipartition of indulgent sleep rate was 7.21 -4.41, higher than normal value;the total incidence of somnolence was near to 50%. The urban soldiers had harmful sleep health consciousness i. e. no favorable sleep custom, undertaking activity harmful to sleep before sleep, bad hobby before sleep,and bad sleep environment. Conclusion ,We should not ignore the status of parahypnosis and sonmus disease in urban soldiers in winter at cold region in northern part of Xinjiang. We need to take measures to improve their sleep quality and to promote their fight ability.