汶川大地震幸存者地震前后生理指标变化
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摘要
目的:对比汶川大地震前后幸存者的生理指标变化,评估汶川大地震给幸存者带来的生理影响。方法:在地震发生2个月后对1379名地震幸存者进行了全面的身体检查,并将本次检查结果与地震发生之前一年幸存者的身体检查结果做比较。结果:地震后的2个月,幸存者的体重、BP、HR、WBC、RBC、PLT、GLU、HDL、LDL与地震前一年相比,差异均具有统计学意义;体重、收缩压、心率、RBC、GLU的变化量存在年龄差异;收缩压、RBC、HDL、LDL的变化在性别上存在差异。结论:创伤应激可以引起体重、血压、血常规、血糖、血脂等多项生理指标的改变。
Objective: To evaluate the change of physiological indices before and after the Wenchuan Earthquake of survivors. Methods: 1379 survivors were organized to do a physical examination in Deyang people’s hospital. A comparison was made between the examination data and the examination data of the same survivors one year before the Earthquake. Results: There is a significant change in the BP、 HR、 WBC、 RBC、 PLT、 GLU、 HDL、 LDL before and after the Earthquake; weight、 BP、 HR、 RBC、 GLU change differently in youths and old people; BP、 RBC、 HDL、 LDL change differently in male and female. Conclusion: The big Earthquake has placed a significant effect on the survivors’ physiological health.
Objective: To evaluate the change of physiological indices before and after the Wenchuan Earthquake of survivors. Methods: 1379 survivors were organized to do a physical examination in Deyang people’s hospital. A comparison was made between the examination data and the examination data of the same survivors one year before the Earthquake. Results: There is a significant change in the BP、 HR、 WBC、 RBC、 PLT、 GLU、 HDL、 LDL before and after the Earthquake; weight、 BP、 HR、 RBC、 GLU change differently in youths and old people; BP、 RBC、 HDL、 LDL change differently in male and female. Conclusion: The big Earthquake has placed a significant effect on the survivors’ physiological health.
引文
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2Yudkin J,Kumari M,Humphries S,et al.Inflammation,obesity,stress and coronary heart disease:is interleukin-6the link?Atherosclerosis,2000,148(2):209-214
3安志波,邹长江.心理应激在高血压病形成和发展中的作用及机制.高血压杂志,2003,11(2):102-105
4Matthews K,Woodall K,Allen M.Cardiovascular reactivity to stress predicts future blood pressure status.Hypertension,1993,22(4):479-485
5鞠海兵,沈菲菲.应激对糖尿病的影响.中国糖尿病杂志,2002,10(4):227-228
6Brindley D,Rolland Y.Possible connections between stress,diabetes,obesity,hypertension and altered lipoprotein met-abolism that may result in atherosclerosis.Clinical science(London,England:1979),1989,77(5):453-461
7武成,李慧吉.应激与支气管哮喘相关性的实验研究.中国中医基础医学杂志,1998,4(5):20-24
8杨海晨,臧德馨.甲亢患者病前应激性生活事件研究.中国心理卫生杂志,2000,14(3):201-202
9Gray J,Hoffenberg R.Thyrotoxicosis and stress.The Quar-terly Journal of Medicine,1985,54(214):153-160
10张建,石汉平,王深明.创伤应激后糖代谢的神经内分泌调节及血糖升高的处理.临床外科杂志,2005,12:781-783
11程灵芝,李川云,刘晓红,等.心理应激对机体红、白细胞免疫系统功能的影响.中国行为医学科学,2004,13(2):230-231
12Marion U,Paul J,Michael R.Interleukin-6and tumornecrosis factor-a production after acute psychological stress,exercise,and infused Isoproterenol:Differential effects and pathways.Psychosomatic Medicine,2000,62:591-598
13郭峰,钱宝华,张乐之.现代红细胞免疫学.上海:第二军医大学出版社,2002
14房华,刘辉,徐维家,等.考试应激对血常规影响及与HLA-DQB1关系.中国公共卫生,2007,23(6):717-719
15安友仲,祝学光,杜如昱,等.创伤后早期神经内分泌改变与应激性高血糖.中国临床营养杂志,1998,2:362-365
16高北陵,周智广.心理社会因素在糖尿病发生过程中的作用及机理研究.中国临床心理学杂志,1997,5(3):134-138
17尹文刚,林文娟.心理应激与相关心理疾病的发生和治疗.中国临床康复,2002,6(17):2514-2515
18李良,李霞,胡弼,等.慢性应激刺激致高血压大鼠下丘脑肾上腺髓质素和降钙素受体样受体基因表达改变.中国动脉硬化杂志,2004,3:317-320
19胡冰,夏映红,袁海波,等.慢性可变应激对大鼠血压和行为学变化的影响.中国临床康复,2005,9(12):130-131
20陈纯姿,刘少文,赵巍峰.慢性应激对大鼠行为和体重的影响.中国民康医学,2005,17(3):129-138
21徐建芬.慢性束缚应激损害小鼠学习记忆和抑制体重增加.浙江教育学院学报,2004,5:23-27
2Yudkin J,Kumari M,Humphries S,et al.Inflammation,obesity,stress and coronary heart disease:is interleukin-6the link?Atherosclerosis,2000,148(2):209-214
3安志波,邹长江.心理应激在高血压病形成和发展中的作用及机制.高血压杂志,2003,11(2):102-105
4Matthews K,Woodall K,Allen M.Cardiovascular reactivity to stress predicts future blood pressure status.Hypertension,1993,22(4):479-485
5鞠海兵,沈菲菲.应激对糖尿病的影响.中国糖尿病杂志,2002,10(4):227-228
6Brindley D,Rolland Y.Possible connections between stress,diabetes,obesity,hypertension and altered lipoprotein met-abolism that may result in atherosclerosis.Clinical science(London,England:1979),1989,77(5):453-461
7武成,李慧吉.应激与支气管哮喘相关性的实验研究.中国中医基础医学杂志,1998,4(5):20-24
8杨海晨,臧德馨.甲亢患者病前应激性生活事件研究.中国心理卫生杂志,2000,14(3):201-202
9Gray J,Hoffenberg R.Thyrotoxicosis and stress.The Quar-terly Journal of Medicine,1985,54(214):153-160
10张建,石汉平,王深明.创伤应激后糖代谢的神经内分泌调节及血糖升高的处理.临床外科杂志,2005,12:781-783
11程灵芝,李川云,刘晓红,等.心理应激对机体红、白细胞免疫系统功能的影响.中国行为医学科学,2004,13(2):230-231
12Marion U,Paul J,Michael R.Interleukin-6and tumornecrosis factor-a production after acute psychological stress,exercise,and infused Isoproterenol:Differential effects and pathways.Psychosomatic Medicine,2000,62:591-598
13郭峰,钱宝华,张乐之.现代红细胞免疫学.上海:第二军医大学出版社,2002
14房华,刘辉,徐维家,等.考试应激对血常规影响及与HLA-DQB1关系.中国公共卫生,2007,23(6):717-719
15安友仲,祝学光,杜如昱,等.创伤后早期神经内分泌改变与应激性高血糖.中国临床营养杂志,1998,2:362-365
16高北陵,周智广.心理社会因素在糖尿病发生过程中的作用及机理研究.中国临床心理学杂志,1997,5(3):134-138
17尹文刚,林文娟.心理应激与相关心理疾病的发生和治疗.中国临床康复,2002,6(17):2514-2515
18李良,李霞,胡弼,等.慢性应激刺激致高血压大鼠下丘脑肾上腺髓质素和降钙素受体样受体基因表达改变.中国动脉硬化杂志,2004,3:317-320
19胡冰,夏映红,袁海波,等.慢性可变应激对大鼠血压和行为学变化的影响.中国临床康复,2005,9(12):130-131
20陈纯姿,刘少文,赵巍峰.慢性应激对大鼠行为和体重的影响.中国民康医学,2005,17(3):129-138
21徐建芬.慢性束缚应激损害小鼠学习记忆和抑制体重增加.浙江教育学院学报,2004,5:23-27
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