CAJ | 학술논문

目的：探讨心理健康状况对住院军人生理和血清生化指标的影响。方法选取解放军第91中心医院非精神科的172名住院军人采用症状自评量表( SCL-90)筛选心理健康状况良好者(对照组)和较差者(研究组)，常规检测心率、血压、睡眠时间等生理指标，实验室检测空腹血糖( GLU )、皮质醇( COR )、丙二醛( MDA )、超氧化物歧化酶( SOD )等生化指标，对比两组患者的生理生化指标差异。结果心理健康状况较差的住院军人与良好者在心率、血压及睡眠时间方面均存在显著性差异(P＜0.05或0.01)；研究组GLU、COR和MDA血清浓度显著高于对照组，而SOD显著低于对照组(P＜0.05或0.01)；住院军人生理和生化指标之间存在显著相关性(P＜0.05或0.01)。结论心理健康状况较差的住院军人存在多项生理和生化指标异常，各指标可以作为判断住院军人目前心理健康状况的重要依据。
목적：탐토심리건강상황대주원군인생리화혈청생화지표적영향。방법선취해방군제91중심의원비정신과적172명주원군인채용증상자평량표( SCL-90)사선심리건강상황량호자(대조조)화교차자(연구조)，상규검측심솔、혈압、수면시간등생리지표，실험실검측공복혈당( GLU )、피질순( COR )、병이철( MDA )、초양화물기화매( SOD )등생화지표，대비량조환자적생리생화지표차이。결과심리건강상황교차적주원군인여량호자재심솔、혈압급수면시간방면균존재현저성차이(P＜0.05혹0.01)；연구조GLU、COR화MDA혈청농도현저고우대조조，이SOD현저저우대조조(P＜0.05혹0.01)；주원군인생리화생화지표지간존재현저상관성(P＜0.05혹0.01)。결론심리건강상황교차적주원군인존재다항생리화생화지표이상，각지표가이작위판단주원군인목전심리건강상황적중요의거。
Objective To investigate the influence of psychological health status on the physiological and serumbio-chemical indices of hospitalized soldiers.Methods 172 hospitalized soldiers at non-psychiatric department of PLA No. 91 Central Hospital were selected and screened by means of SCL-90 to get a control group with good psychological health status and a research group with poor psychological health status.Physiological indicators of heart rate,blood pressure,and sleep time were normally inspected,and biochemical indicators of G LU ,COR ,mD A ,and SOD were de-tected at laboratory.The differences of physiological and biochemical indicators between the two groups were compared. Results There were significant differences in heart rate,blood pressure,and sleep time between the soldiers with good psychological health status and those with poor psychological health status(P<0 .05 or 0 .01 ).GLU ,COR ,and mD A of serumconcentration in the research group were significantly higher,while SODwas significantly lower than those in the control group (P<0 .05 or 0 .01 ).There were significant correlations between the physiological and biochemical indica-tors in the hospitalized soldiers(P<0 .05 or 0 .01 ).Conclusion There are multiple abnormal physiological and biochem-ical indices among physiological and biochemical indicators with poor psychological health status,which can be regard-ed as a significant basis to judge the present psychological health status of hospitalized soldiers.