CAJ | 학술논문

目的：观察维和队员在南苏丹恶劣的环境所导致的应激状态下甲状腺激素和皮质醇激素的水平，探讨机体遭受应激后激素的变化及其相关原因。方法25名维和队员分别于出国前、出国后1个月、出国后4个月、出国后7个月各采血一次。采用磁分离免疫测定法，测定甲状腺和皮质醇激素水平变化，并分别与出国前比较。结果出国后1个月 T3（1．780±0．345）ng／mL、T4（88．609±14．486）ng／mL、FT3（3．758±4.287）pg／mL、FT4（15．152±6．422）pg／mL，均较出国的（1．458±0．206）ng／mL、（2．060±0．642）ng／mL、（11.672±3．627）pg／mL、（96．958±12．286）pg／mL 明显升高（t ＝3．670、2．410、2．019、2．798，均 P ＜0．0）。出国后4个月 TSH（1．320±0．518）μIU ／mL，较出国前的（1．872±0．821）μIU ／mL 明显降低（t ＝3．175，P ＜0.05）。结论机体在环境改变等应激因素作用下，甲状腺激素和皮质醇激素的水平均有明显的变化，建议尽早作出对策，进行适当干预。同时对维和队员在出国前全面进行一次激素检测和心理疏导，对顺利完成维和任务意义重大。
목적：관찰유화대원재남소단악렬적배경소도치적응격상태하갑상선격소화피질순격소적수평，탐토궤체조수응격후격소적변화급기상관원인。방법25명유화대원분별우출국전、출국후1개월、출국후4개월、출국후7개월각채혈일차。채용자분리면역측정법，측정갑상선화피질순격소수평변화，병분별여출국전비교。결과출국후1개월 T3（1．780±0．345）ng／mL、T4（88．609±14．486）ng／mL、FT3（3．758±4.287）pg／mL、FT4（15．152±6．422）pg／mL，균교출국적（1．458±0．206）ng／mL、（2．060±0．642）ng／mL、（11.672±3．627）pg／mL、（96．958±12．286）pg／mL 명현승고（t ＝3．670、2．410、2．019、2．798，균 P ＜0．0）。출국후4개월 TSH（1．320±0．518）μIU ／mL，교출국전적（1．872±0．821）μIU ／mL 명현강저（t ＝3．175，P ＜0.05）。결론궤체재배경개변등응격인소작용하，갑상선격소화피질순격소적수평균유명현적변화，건의진조작출대책，진행괄당간예。동시대유화대원재출국전전면진행일차격소검측화심리소도，대순리완성유화임무의의중대。
Objective To observe level of thyroid and corticosteroid hormone of peacekeepers in South Sudan the harsh environment under stress and explore the changes of hormone and its related causes the body to suffer stress.Methods 25 peacekeepers were drawn blood before going abroad,after going abroad 1 months,4 months and 7 months,respectively.Methods of immune by magnetic separation were adopted and determined the changes of thyroid hormone and cortisol levels.They were compared with before going abroad.Results After going abroad 1 months T3 (1.780 ±0.345)ng/mL,T4 (88.609 ±14.486)ng/mL,FT3 (3.758 ±4.287)pg/mL,FT4 (15.152 ±6.422)pg/mL than before going abroad (1.458 ±0.206)ng/mL,(2.060 ±0.642)ng/mL,(11.672 ±3.627)pg/mL,(96.958 ± 12.286)pg/mL were significantly increased (t =3.670,2.410,2.019,2.798,all P <0.0 ).TSH (1.320 ± 0.518)μIU /mL after going abroad 4 months was lower than before going abroad(1.872 ±0.821)μIU /mL decreased significantly(t =3.175,P <0.05).Conclusion In the role of the environment change of stress factors,changes of thyroid hormone and cortisol levels of body were obvious.We suggest to make countermeasure as soon as possible and appropriate intervention.At the same time the peacekeepers are detected comprehensive hormone detection and psy-chological counseling before going abroad,it is significant for the successful completion of peace -keeping task.