軍事應(yīng)激對軍人心理和免疫內(nèi)分泌系統(tǒng)的影響

摘要： 目的探討軍事演習(xí)對官兵心理和免疫內(nèi)分泌系統(tǒng)指標(biāo)的影響。方法選取參加軍演部隊(duì)指戰(zhàn)員126名,采用放射免疫方法(RIA)檢測參演前后血清IL-2、IL-6、IL-8、腫瘤壞死因子(TNF)、血清皮質(zhì)醇(cortisol)和醛固酮(aldosterone)水平,應(yīng)用軍人心理應(yīng)激自評(píng)問卷(PSET)進(jìn)行心理狀態(tài)調(diào)查,將血清學(xué)檢測結(jié)果與軍人心理應(yīng)激自評(píng)結(jié)果進(jìn)行相關(guān)性分析。結(jié)果參加軍演后,血清IL-2降低,IL-6、IL-8、TNF升高,與軍演前比較有顯著性差異(P<0.05),PSET分值≥70的官兵(n=35)IL-2降低和IL-6、IL-8、TNF升高更明顯(P<0.05);軍演后血清皮質(zhì)醇和醛固酮均升高,與軍演前比較有顯著性差異(P<0.05),PSET分值≥70的官兵皮質(zhì)醇和醛固酮升高更明顯(P<0.05)。結(jié)論軍演可對免疫系統(tǒng)產(chǎn)生一定的抑制作用,并可引起內(nèi)分泌激素水平的改變,有必要選擇適宜的心理訓(xùn)練和體能訓(xùn)練來提高官兵的免疫能力和心理應(yīng)激能力。
Objective To investigate the influences of large-scale military exercise on immune and endocrine secretory function of soldiers.Methods The psychological stress self-evaluation test(PSET)was applied on 126 officers and soldiers before and after the military exercise.Radioimmunoassay(RIA)technique was employed to determine the contents of serum interlukine-2(IL-2),interlukine-6(IL-6),interlukine-8(IL-8),tumor necrosis factor(TNF),cortisol(Cor)and aldosterone(Ald)in 126 subjects.All data were processed by correlation analysis.Results Compared with that of before exercise,the contents of serum IL-2 declined significantly(P<0.05),while the serum IL-6,IL-8,TNF,cortisol and aldosterone increased significantly(P<0.05)after the military exercise in the 126 officers and soldiers after the military exercise.There was a positive correlation between the serum contents of the above agents and PSET.Conclusion As a strong psychosocial stress agent,military exercise may cause obvious physiological changes in participants.It is necessary to give suitable psychological and physiological intervention,in order to reduce the stress induced by military exercise.