學科別>醫學與生命科學>醫學>解放軍醫學雜誌>32卷3期
頁數:3 需求點數:12 電子全文: 請登入.
系統識別號777604
篇 名军事应激对新兵消化道疾病相关激素水平的影响
並列篇名Correlation between the Recruits' Gastrointestinal Hormon Level and Military Stress
作 者许涛(Tao Xu);李兆申(Zhao-Shen Li);彭国林(Guo-Lin Peng);范群铭;黄文
刊 名解放軍醫學雜誌
卷期/出版年月32卷3期(2007/03)
頁次193-195
資料語文中文
摘要目的 探讨新兵军事应激条件下消化道疾病相关激素水平的变化。方法 对150名新兵进行消化道症状问卷调查和心理调查(SCL-90量表),放射免疫法检测实弹射击前后血清胃泌素、血管活性肠肽(VIP)、皮质醉、β-内啡肽(β-EP)浓度,并在实弹射击训练后对所有新兵行胃镜、B超检查以及幽门螺杆菌(Hp)检测。结果 150名新兵中实弹训练后胃镜检查发现糜烂性胃炎和消化性溃疡17例,Hp感染率为62.7%(94/150),高于普通人群Hp感染率(55%, P<0.05)。实弹训练后血清胃泌素、VIP、皮质醇及β-EP浓度均较实弹射击前显著升高(P<0.01),糜烂性胃炎/消化性溃疡组的血清胃泌素水平显著高于基本正常组(P<0.05),而VIP水平两组无显著差异。SCL-90≥160分组血清皮质醇浓度显著高于SCL-90<160分组,且SCL-90总分与皮质醇浓度呈正相关(P<0.05),而β-EP浓度两组无显著差异。结论 军事心理应激可能引发或加重胃肠道疾病以及引起血清胃泌素、VIP、皮质醇、β-EP水平升高;消化性溃疡及胃粘膜糜烂的发生与胃泌素分泌增多有关,血清胃泌素的变化可能是心理应激过程中的继发改变,不同的心理状态可能对应激情况下胃泌素的分泌产生一定影响。

Objective To investigate the correlation between the recruits' gastrointestinal hormone level and military stress. Methods 150 army recruits were included for the study. The gastrointestinal symptom and mental status of army recruits were investigated with questionnaires as well as Symptom Checklist 90 (SCL-90). Serum gastrin, vasoactive intestinal peptide (VIP), cortisol, β-endorphine (β-EP) levels were determined with radioimmunological techniques before and after live ammumition shooting training. All the army recruits underwent endoscopic and abdominal ultrasonographic examinations, and the presence of Helicobacter pylon (Hp) was detected by rapid urease test (RUT). Results 17 army recruits developed erosive gastritis or peptic ulcer after shooting training. Hp was detected in 94 army recruits (62.7%), the infectation rate was significantly higher than that of normal people (55%, P<0.05). The serum gastrin, VIP, cortisol and β-EP level of all the recruits were significantly elevated after shooting training. The gastrin level of army recruits that developed erosive gastritis or peptic ulcer was higher than that of normal army recruits, while no significant difference was found on VIP level between the two groups. Compared with that of SUL-90<160 group, the serum cortisol level in SCL-90≥160 group was significantly higher. The serum cortisol level was positively correlated with SCL-90. No significant difference in serum gastri, VIP and β-EP levels was found between the two groups. Conclusion Military psychological stress may initiate, even aggravate the gastrointestinal diseases, and elevate the levels of serum gastrin, VIP, cortisol and β-EP, The incidences of peptic ulcer and gastric mucosal erosion were correlated with increased gastrin secretion. The changes in gastrin secretion level may be a secondary event, and mental status may exert an influence on the gastrin secretion in stress condition.

關鍵詞心理学,军事,应激,心理学,胃泌素类,血管活性肠肽,皮质醇,β内啡肽;psychology, military,stress, psychological,gastrins,vasoactive intestinal peptide,cortisol,β- endorphin
CEPS分類學科別>醫學與生命科學>醫學
學科別>醫學與生命科學>藥學
學科別>醫學與生命科學>傳統醫學
學科別>醫學與生命科學>醫護公衛


華藝數位股份有限公司 版權所有 © 2003-2007 All Rights Reserved   最近更新日期:2010/09/03