目的 调查辽宁省沿海地区部队官兵的亚健康状况及影响因素.方法 应用整群抽样方法,采用自行设计包括20项自觉症状的健康调查表进行问卷调查与分析.结果 在辽宁省沿海地区接受调查的3170例部队官兵中20项自觉症状均有发生,但发生率不同,其中,烦躁、头晕、情绪低落、乏力、失眠列居前5位,发生率分别为36.5％、31.6％、31.0％、30.7％和27.4％;不同职务、兵种、服役期和文化程度官兵的5种常见自觉症状的发生率各不相同,其中,干部烦躁、情绪低落高于战士,发生率分别为54.5％和36.1％、44.2％和30.7％(P＜0.05)；海军官兵烦躁、头晕、情绪低落、乏力、失眠的发生率分别是48.8％、39.6％、43.1％、38.2％和32.9％,高于陆军、空军(P＜0.05)；服役期≥9年官兵的烦躁、情绪低落、乏力和失眠的发生率为46.9％、46.0％、45.1％、38.1％,服役3～8年的官兵头晕发生率为40.4％,高于服役期≤2年、≥9年的官兵(P＜0.05)；具有大学及以上学历官兵的烦躁、情绪低落、乏力发生率分别为52.5％、43.3％、42.5％,高于其他学历的官兵(P＜0.05).影响因素涉及职务、兵种、服役期和文化程度,但最重要的影响因素是服役期.结论 部分官兵的健康状况存在问题,且受到职务、兵种、文化程度,尤其是服役期等因素的影响,对服役期＞2年的官兵应积极采取预防措施,加强健康教育,定期开展健康体检工作.%Objective To investigate health condition of the officers and soldiers from littoral army in Liao Ning Province and influencing factor. Methods The cluster sampling was used. The self-designing health questionnaires were applied to this investigation. The questionnaire included 20 subjective symptoms, which were relevant with hematological system and digestive system diseases. Results Twenty subjective symptoms listed in the questionnaire all appeared among the 3170 officers and soldiers from littoral army in Liao Ning Province,but the incidence were difference in this subjective symptoms,in which the fidget, dizziness, depression,fatigue and insomnia,which were listed from top first to the fifth,was 6.5%,31.6%,31.0%,30.7% and 27.4% respectively. The incidence of 5 frequent subjective symptoms above differred in the officers and soldiers with different duty,arm of the service, time to be in military service and level of culture. The incidence rate of fidget,depression from the officers was higher than soldiers, which was 54.5%vs36.1% ,44.2%vs30.7% respectively (P<0.05). The incidence rate of fidget,dizziness,depression,fatigue and insomnia from the officers and soldiers in navy was 48.8%,39.6% ,43.1%,38.2% and 32.9%,which was higher than that in army and air-force respectively (P<0.05). The incidence of fidget, depression, fatigue and insomnia from the officers and soldiers with time to be in military service over 9 years and that of dizziness during 3 to 8 years was 46.9% ,46.0% ,45.1% ,38.1% and 40.4% respectively, which was higher than that with others time to be in military service (P<0.05). The incidence rate of fidget, depression,fatigue from the officers and soldiers with educational background of university or over university was 52.5% ,43.3% and 42.5% respectively, which was higher than that with others educational background (P<0.05). The influencing factors of the incidence were involved in different duty, arm of the service,time to be in military service and level of culture,but the time to be in military service was most important influencing factors. Conclusions There were problems of the health condition in some officers and soldiers. The influencing factors were different duty, arm of the service,level of culture ,especially the lime to be in military service. The protective measure should be taken,the health education should be reinforced,the health examination should be carried out regularly to the officers and soldiers whose time to be in military service are above 2 years.
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