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| 白龙解郁颗粒对执行出海任务海军官兵心理应激的预防作用 |
| 修丽娟1,陶刚超2,武峰1,孙大志1,赵婧1,叶敏1,矫健鹏1,赵颖1,孙昱伟1,张璇1,徐晶钰1,刘咏英1,岳小强1* |
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| (海军军医大学(第二军医大学)第二附属医院中医科, 上海 200003;中国人民解放军 91937部队保障部战勤计划科, 舟山 316000) |
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| 摘要: |
| 目的 观察中药白龙解郁颗粒对执行出海任务的海军官兵心理应激的预防作用。方法 以执行出海任务的海军官兵209人作为研究对象，按随机数表法将其分为白龙解郁颗粒组（n＝103）和空白组（n＝106）。于出海第1周时采用心理应激自评问卷（PSET）及90项症状自评量表（SCL-90）对两组官兵进行问卷调查。白龙解郁颗粒组官兵在出海第3周时给予白龙解郁颗粒干预，空白组不给予干预措施。出海第4周时两组分别复测PSET及SCL-90，并进行组间对照分析。结果 两组的基线资料基本一致，白龙解郁颗粒组与空白组在出海第1周时的PSET、SCL-90各因子分差异均无统计学意义（P均＞0.05）。空白组出海第4周时的PSET标准分高于出海第1周（P＜0.05）。白龙解郁颗粒组出海第1周和第4周的PSET标准分比较差异无统计学意义（P＞0.05）。出海第4周时白龙解郁颗粒组的PSET标准分低于空白组，差异有统计学意义（P＜0.05）。出海第4周时空白组SCL-90的躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性及其他因子分均高于出海第1周时，差异均有统计学意义（P均＜0.05）。出海第4周时白龙解郁颗粒组SCL-90的抑郁、恐怖、偏执、精神病性因子分均低于空白组出海第4周时，差异均有统计学意义（P均＜0.05）。结论 白龙解郁颗粒对执行出海任务的海军官兵具有预防军事应激反应的作用。 |
| 关键词: 海军医学 心理学应激 白龙解郁颗粒 中国传统医学 |
| DOI：10.16781/j.CN31-2187/R.20200973 |
| 投稿时间：2020-07-10修订日期：2021-08-26 |
| 基金项目:军队医药卫生科技成果扩试项目(2016CGGS02),海军军医大学(第二军医大学)第二附属医院"金字塔"人才工程心理专项(2020CZJZT019),海军军医大学(第二军医大学)第二附属医院军事专项(2019CZJS110). |
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| Preventive effect of Bailongjieyu granule on mental stress of naval officers and soldiers on voyage mission |
| XIU Li-juan1,TAO Gang-chao2,WU Feng1,SUN Da-zhi1,ZHAO Jing1,YE Min1,JIAO Jian-peng1,ZHAO Ying1,SUN Yu-wei1,ZHANG Xuan1,XU Jing-yu1,LIU Yong-ying1,YUE Xiao-qiang1* |
| (Department of Traditional Chinese Medicine, The Second Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200003, China;Operation Planning Division of Support Department, No. 91937 Troop of PLA, Zhoushan 316000, Zhejiang, China) |
| Abstract: |
| Objective To observe the preventive effect of Bailongjieyu granule on mental stress of naval officers and soldiers on voyage mission.Methods A total of 209 naval officers and soldiers were enrolled and divided into Bailongjieyu granule group (n=103) and blank group (n=106) by random number table method.The officers and soldiers of the 2 groups were investigated with psychological stress self-evaluation test (PSET) and symptom checklist 90(SCL-90) in their 1st week of voyage.Only the officers and soldiers in the Bailongjieyu granule group were given Bailongjieyu granule in their 3rd week of voyage.PSET and SCL-90 were retested respectively in the 2 groups in the 4th week of voyage,and intergroup analysis was conducted.Results The baseline data of the 2 groups were basically consistent,and there were no significant differences in factor scores of PSET or SCL-90 between the Bailongjieyu granule group and the blank group in the 1st week of voyage (all P>0.05).The standard score of PSET in the blank group in the 4th week of voyage was significantly higher than that in the 1st week of voyage (P<0.05).There was no significant difference in the standard score of PSET in the Bailongjieyu granule group between the 1st week and the 4th week of voyage (P>0.05).The standard score of PSET in the Bailongjieyu granule group in the 4th week of voyage was significantly lower than that in the blank group (P<0.05).The SCL-90 scores of somatization,obsessive-compulsive symptoms,interpersonal sensitivity,depression,anxiety,hostility,fear,paranoia,psychotic,and other factors in the blank group in the 4th week of voyage were significantly higher than those in the 1st week of voyage (all P<0.05).The SCL-90 scores of depression,fear,paranoia and psychotic factors in the Bailongjieyu granule group in the 4th week of voyage were significantly lower than those in the blank group in the 4th week of voyage (all P<0.05).Conclusion Bailongjieyu granule can prevent naval officers and soldiers who are in voyage missions from military stress response. |
| Key words: naval medicine psychological stress Bailongjieyu granule traditional Chinese medicine |
