特种作战军人疲劳及系统性劳动不耐受病发生状况调查
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摘要
目的了解某特种作战部队官兵疲劳状况及系统性劳动不耐受病(systemic exertion intolerance disease,SEID)的发生情况。方法 2018年6月选取某特种作战部队官兵260人,采用多维度疲劳量表MFI-20评估特战官兵的疲劳程度。根据美国医学研究院(Institute of Medicine, IOM)在2015年推荐的SEID诊断标准,通过SEID调查表评估其发生情况及影响因素。结果特战人员MFI疲劳总分为54.49±11.13,综合性疲劳、体力疲劳、活动减少、动力下降及脑力疲劳各维度的评分分别为13.63±3.48、11.75±3.48、9.72±2.33、9.00±2.52及10.39±3.74。特战官兵约有34.27%的人员存在半年以上的深度疲劳;官兵中SEID相关症状的发生率依次为不能恢复精力的睡眠(76.00%)、能力损伤(71.54%)、认知损伤(46.18%)、直立不耐受(26.52%)、运动后不适(22.09%)。根据IOM推荐的诊断标准,特战官兵SEID发生率约为12.61%。特战官兵每天训练时间与疲劳程度(r=0.223,P<0.01)和SEID发生率(P=0.039)密切相关,未发现不同军龄、岗位等因素之间疲劳评分及SEID发生率的差别。结论特战官兵中疲劳评分及SEID发生率均较高;特战官兵每天训练时间与疲劳程度和SEID发生率密切相关。
Objective To investigate the fatigue status and occurrence of systemic exertion intolerance disease(SEID) in soldiers from a unit of special operations force. Methods A total of 260 officers and soldiers from a SPF unit were selected in June 2018, and surveyed for fatigue level with multidimensional fatigue inventory 20(MFI-20). According to the SEID diagnostic criteria recommended by the Institute of Medicine(IOM) in 2015, the occurrence and influencing factors of SEID were assessed using a questionnaire. Results The total score of MFI of the participants was 54.49±11.13, and the scores of general fatigue, physical fatigue, reduced activity, reduced motivation and mental fatigue were 13.63±3.48, 11.75±3.48, 9.72±2.33, 9.00±2.52 and 10.39±3.74, respectively. About 34.27% of the participants suffered from deep fatigue for longer than half a year. The incidences of SEID-related symptoms were 76.00% for unrefreshing sleep, 71.54% for substantial reduction or impairment in the ability, 46.18% for cognitive impairment, 26.52% for orthostatic intolerance and 22.09% for post-exertional malaise in order. According to the diagnostic criteria recommended by IOM, the incidence of SEID was 12.61%. The daily training time was closely correlated to fatigue level(r=0.223, P<0.01) and SEID incidence(P=0.039). There were no differences in fatigue score and SEID incidence among the participants of different durations of military service, posts and other factors. Conclusion The fatigue score and incidence of SEID are quite high in the participants. The daily training time is closely correlated to fatigue level and SEID incidence.
Objective To investigate the fatigue status and occurrence of systemic exertion intolerance disease(SEID) in soldiers from a unit of special operations force. Methods A total of 260 officers and soldiers from a SPF unit were selected in June 2018, and surveyed for fatigue level with multidimensional fatigue inventory 20(MFI-20). According to the SEID diagnostic criteria recommended by the Institute of Medicine(IOM) in 2015, the occurrence and influencing factors of SEID were assessed using a questionnaire. Results The total score of MFI of the participants was 54.49±11.13, and the scores of general fatigue, physical fatigue, reduced activity, reduced motivation and mental fatigue were 13.63±3.48, 11.75±3.48, 9.72±2.33, 9.00±2.52 and 10.39±3.74, respectively. About 34.27% of the participants suffered from deep fatigue for longer than half a year. The incidences of SEID-related symptoms were 76.00% for unrefreshing sleep, 71.54% for substantial reduction or impairment in the ability, 46.18% for cognitive impairment, 26.52% for orthostatic intolerance and 22.09% for post-exertional malaise in order. According to the diagnostic criteria recommended by IOM, the incidence of SEID was 12.61%. The daily training time was closely correlated to fatigue level(r=0.223, P<0.01) and SEID incidence(P=0.039). There were no differences in fatigue score and SEID incidence among the participants of different durations of military service, posts and other factors. Conclusion The fatigue score and incidence of SEID are quite high in the participants. The daily training time is closely correlated to fatigue level and SEID incidence.
引文
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[16] 张孟仁.慢性疲劳综合征的中医治疗[J].中华全科医师杂志,2012,11(11):818-819.DOI:10.3760/cma.j.issn.1671-7368.2012.11.006.ZHANG M R.Traditional Chinese medicine treatment for chronic fatigue syndrome[J].Chin J Gen Pract,2012,11(11):818-819.DOI:10.3760/cma.j.issn.1671-7368.2012.11.006.
[2] FUKUDA K,STRAUS S E,HICKIE I,et al.The chronic fatigue syndrome:a comprehensive approach to its definition and study[J].Ann Intern Med,1994,121(12):953-959.
[3] HOLGATE S T,KOMAROFF A L,MANGAN D,et al.Chronic fatigue syndrome:understanding a complex illness[J].Nat Rev Neurosci,2011,12(9):539-544.DOI:10.1038/nrn3087.
[4] ERDTMANN F.Beyond myalgic Encephalomyelitis/Chronic fatigue syndrome:redefining an illness[J].Mil Med,2015,180(7):721-723.DOI:10.7205/MILMED-D-15-00085.
[5] 卢宁,廖成功,黄建国,等.多维疲劳量表在高原汽车军人慢性疲劳综合征中的应用[J].临床军医杂志,2015,43(1):47-52,103.DOI:10.3969/j.issn.1671-3826.2015.01.15.LU N,LIAO C G,HUANG J G,et al.Application of multidimensional fatigue inventory to army drivers worked in plateau with chronic fatigue syndrome[J].Clin J Med Officer,2015,43(1):47-52,103.DOI:10.3969/j.issn.1671-3826.2015.01.15.
[6] 徐辉,韦红梅,徐国利,等.多维疲劳量表在驻高原边防军人慢性疲劳综合征中的应用[J].西北国防医学杂志,2015,36(10):631-633.DOI:10.16021/j.cnki.1007-8622.2015.10.001.XU H,WEI H M,XU G L,et al.Application of multidimensional fatigue inventory in frontier guards on plateau with chronic fatigue syndrome[J].Med J NDFNC,2015,36(10):631-633.DOI:10.16021/j.cnki.1007-8622.2015.10.001.
[7] WINKER R,BARTH A,DORNER W,et al.Diagnostic management of orthostatic intolerance in the workplace[J].Int Arch Occup Environ Health,2003,76(2):143-150.DOI:10.1007/s00420-002-0395-4.
[8] JASON L A,SUNNQUIST M,BROWN A,et al.Chronic fatigue syndrome versus systemic exertion intolerance disease[J].Fatigue,2015,3(3):127-141.DOI:10.1080/21641846.2015.1051291.
[9] 郑培萍.办公室工作人员慢性疲劳综合征的成因与应对策略[J].体育科技文献通报,2015,23(8):122-123.DOI:10.3969/j.issn.1005-0256.2015.08.056.ZHENG P P.Causes for chronic fatigue syndrome among office workers and countermeasures[J].Bull Sport Sci Tech,2015,23(8):122-123.DOI:10.3969/j.issn.1005-0256.2015.08.056.
[10] SAGHERIAN K,CLINTON M E,ABU-SAAD HUIJER H,et al.Fatigue,work schedules,and perceived performance in bedside care nurses[J].Workplace Health Saf,2017,65(7):304-312.DOI:10.1177/2165079916665398.
[11] HINZ A,BARBOZA C F,BARRADAS S,et al.Fatigue in the general population of Colombia—normative values for the multidimensional fatigue inventory MFI-20[J].Onkologie,2013,36(7/8):403-407.DOI:10.1159/000353606.
[12] 兰蓝,唐卫卫,陈龙妹,等.四川省医疗机构高层次人才疲劳现况调查及其影响因素分析[J].预防医学情报杂志,2015,31(4):284-287.LAN L,TANG W W,CHEN L M,et al.Investigation on fatigue and associated factors in high-level talents of medical institutions in Sichuan province[J].J Prev Med Inf,2015,31(4):284-287.
[13] 惠华强,刘锡丹,李建光,等.驻寒区军人心理疲劳状况的研究[J].华南国防医学杂志,2011,25(2):143-146.DOI:10.13730/j.1009-2595.2011.02.011.HUI H Q,LIU X D,LI J G,et al.Mental fatigue status of soldiers in cold regions[J].Mil Med J South Chin,2011,25(2):143-146.DOI:10.13730/j.1009-2595.2011.02.011.
[14] ROLLNIK J D.Chronic fatigue syndrome:A critical review[J].Fortschr Neurol Psychiatr,2017,85(2):79-85.DOI:10.1055/s-0042-121259.
[15] 苟千了,方媛媛,王基容,等.中医外治联合疗法治疗慢性疲劳综合征研究进展[J].亚太传统医药,2016,12(19):78-79.DOI:10.11954/ytctyy.201619029.GOU Q L,FANG Y Y,WANG J R,et al.Advances in combination therapy of external treatment of traditional Chinese medicine for chronic fatigue syndrome[J].Asia-Pacific Tradit Med,2016,12(19):78-79.DOI:10.11954/ytctyy.201619029.
[16] 张孟仁.慢性疲劳综合征的中医治疗[J].中华全科医师杂志,2012,11(11):818-819.DOI:10.3760/cma.j.issn.1671-7368.2012.11.006.ZHANG M R.Traditional Chinese medicine treatment for chronic fatigue syndrome[J].Chin J Gen Pract,2012,11(11):818-819.DOI:10.3760/cma.j.issn.1671-7368.2012.11.006.