目的 了解驻高原武警官兵健康质量情况,评估其与缺血性心血管疾病(ischemic cardiovascular diseases,ICVD)发病之间的风险。方法 对武警某驻高原地区的官兵进行欧洲五维健康量表(Europe health-related quality of life questionnaire 5 dimensions,EQ-5D)调查分析与10年缺血性心血管疾病风险评估,探讨驻高原官兵的健康生命质量与ICVD间的相关性。结果 高原组在疼痛不适、焦躁抑郁中的得分分别为(2.75±0.58)、(2.49±0.44),与平原组相比评分较高(P<0.05);在视觉刻度尺(EQ visual analogue scale,EQ-VAS)中的评分为(73.67±15.36),显著低于平原组(P<0.05)。同时高原组的吸烟率为55.98%,高血脂症发病率为15.35%,均显著高于平原组(P<0.05)。结论 驻高原官兵的健康生命质量与心血管健康相关指标及10年IVCD发病率间存在显著的相关性,EQ-5D的调查可反映出官兵潜在的ICVD发病风险,帮助具有相关风险的官兵及早治疗。
Abstract
Objective To determine the health status of the Armed Police on the plateau and explore the relationships with the risk of ischemic cardiovascular diseases (ICVD).Methods The Europe health-related quality of life questionnaire 5 dimensions (EQ-5D) was used to explore the correlations between the health status of the Armed Police on the plateau and IVCD. The risk of IVCD in 10 years was also studied.Results In terms of pain, discomfort, anxiety and depression,the plateau group scored (2.75±0.58) and (2.49±0.44), respectively, which were higher than those of the plain group (P<0.05). The plateau group scored (73.67±15.36) in EQ visual analogue scale (EQ-VAS), significantly lower than that of the plain group. At the same time, the percentage of smokers of the plateau group was 55.98%, and the incidence of hyperlipidemia was 15.35%, and both were higher than in the plain group(P<0.05).Conclusions There is a significant correlation between the health status of the Armed Police servicemen on the plateau and the incidence of IVCD in 10 years. The EQ-5D survey can expose the potential risk of IVCD and help high-risk servicemen to get treated early.
关键词
高原 /
部队 /
欧洲五维健康量表 /
缺血性心血管病
Key words
plateau /
troops /
Europe health-related quality of life questionnaire 5 dimensions /
ischemic cardiovascular diseases
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参考文献
[1] 陈静怡, 任 翔, 章 浩. 高原某部驻训官兵心血管系统健康状况分析[J]. 武警医学, 2018, 29(4): 347-350.
[2] 沈逸枫, 吴 炯, 郭 玮, 等. 心血管疾病风险评估系统研究进展[J]. 检验医学, 2018, 33(2): 163-169.
[3] Craig B M, Pickard A S, Lubetkin E I. Health problems are more common, but less severe when measured using newer EQ-5D versions[J]. J Clin Epidemiol, 2014, 67(1) : 93-99.
[4] 姚金江, 梁 英, 徐勇勇, 等. 中文版EQ-5D-3L量表应用于慢性病人群测量特性的Rasch模型分析[J]. 中国卫生统计, 2018, 35(5): 681-683+688.
[5] 谢明亮, 谢 欣, 孙文斌, 等. 武警中青年干部高血压及心血管病风险因素调查[J]. 中国实用医药, 2012, 7(5): 256-257.
[6] 周琳琳, 刘 春, 陈 郁, 等. 高原部队官兵EQ-5D健康情况调查及其与慢性高原病的相关性分析[J]. 第三军医大学学报, 2017, 39(13):1410-1414.
[7] 陈静怡, 任 翔, 崔志茹. 高原藏区新兵集训期发病情况及临床分析[J]. 武警医学, 2018, 29(3): 260-263.
[8] 马会利,胡培华,杨永向,等. 某高原部队335例血尿酸和血脂水平分析[J]. 心血管康复医学杂志, 2013, 22(2): 124-126.
[9] 胡立娜, Xiao Yunxinyan, 程 红, 等. 共享环境下男性更易抑郁且可表现为吸烟成瘾[J]. 中国健康心理学杂志, 2018, 26(4): 496-500.
[10] 赵一多, 张 瑶, 康龙丽. 短期和长期暴露于高海拔地区人群的葡萄糖稳态维持[J]. 国外医学(医学地理分册), 2016, 37(2): 186-194.
[11] 徐继英, 严青华, 姚海宏. 上海市成年人中心性肥胖者糖尿病的患病风险[J].实用预防医学, 2018, 25(7): 810-813.
[12] Voss J D, Allison D B, Webber B J, et al. Lower obesity rate during residence at high altitude among a military population with frequent migration:aquasi experimental model for investigating spatial causation[J]. PLoS One, 2014, 9(4): e93493.
[13] 李建伟. 心血管疾病危险因素的预防[J]. 中国医药导刊, 2015, 17(6): 621- 622.
[14] 马会利, 胡培华, 杨永向, 等. 某高原部队335例血尿酸和血脂水平分析[J].心血管康复医学杂志, 2013, 22(2): 124-126.
[15] Liu M Y, Li N, Li W A, et al. Association between psychosocial stress and hypertension: a systematic review and meta-analysis[J]. Neurol Res, 2017, 11(3): 1-8.