短期高强度军事作业对个体疲劳感及内分泌功能的影响

Effects of high intensive short-term military operations on fatigue and neuroendocrine

  • 摘要: 目的 研究短期高强度军事作业诱发疲劳的特点和神经-内分泌改变规律。 方法 2010年解放军总医院在某部为期7 d高强度军事演习作业前后,分析240名官兵疲劳发生状况及垂体-肾上腺(包括血浆促肾上腺皮质激素、皮质激素、24 h尿游离皮质醇)、垂体-性腺(黄体生成素、睾酮、雌二醇)、垂体-甲状腺(血清TSH、TT4、TT3、FT4和FT3)轴激素水平改变。 结果 高强度军事作业后,官兵作业疲劳症状自评量表中不快感分量表得分增加(7.53±2.64 vs 8.02±3.06, P< 0.05);皮质醇由(336.97±105.23) nmol/L降至(283.94±84.61) nmol/L(P< 0.001),24 h尿游离皮质醇由(426.39±162.35) nmol/24 h降至(371.76±155.51) nmol/24 h(P< 0.001)、TT3由(2.13±0.30) nmol/L升至(2.72±2.26) nmol/L(P< 0.05),FT4由(13.45± 1.45) pmol/L升至(15.92±1.95) pmol/L(P< 0.001),FT3由(5.23±0.42) pmol/L升至(5.61±0.58) pmol/L(P< 0.001),睾酮水平由(23.51±6.49) nmol/L降至(18.89±5.89) nmol/L(P< 0.001)。 结论 短期高强度军事作业可增加官兵的疲劳状况,影响神经-内分泌系统。

     

    Abstract: Objective To investigate the features of the fatigue caused by high intensive short-term military operations and regulation changes of the nerves- endocrine- system. Methods Clinical data about 240 of ficers who took high intensive short-term military operations for seven days, including the pituitary – adrenal hormone (ACTH, Cortisol, UFC), pituitary – gonadal hormone (LH, FSH, T, E2), pituitary – thyroid hormone (TSH, TT3, T3, TT4, T4), were detected and analyzed using Fatigue Assessment Scale. Results After the 7-day military operations, the subjects' feeling of unpleasurement in faigue scales signi ficantly increased (1.47±0.44 vs 1.61±0.52, P< 0.05), while the adrenal cortex function reduced (Cortisol from 336.97±105.23 nmol/L to 283.94±84.61 nmol/L, UFC from 426.39±162.35 nmol/24 h to 371.76±155.51 nmol/24 h), testosterone level reduced (T from 23.51±6.49 nmol/L to 18.89±5.89 nmol/L), and thyroid function increased (TT3 from 2.13±0.30 nmol/L to 2.72±2.26 nmol/L, FT4 from 13.45±1.45 pmol/L to 15.92±1.95 pmol/L, FT3 from 5.23±0.42 pmol/L to 5.61±0.58 pmol/L). Conclusion High intensive short-term operations can increase the feeling of fatigue and then seriously affect the psychology Neuro - endocrine system of the of ficers.

     

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