中文摘要：

目的了解常驻高原部队官兵健康相关生命质量情况,探讨其与慢性高原病之间的关系。方法分层随机抽取某军区驻高原部队956个样本及该军区驻平原587个对照样本,实施欧洲五维健康量表（Europe health-related quality of life questionnaire 5 dimensions,EQ-5D）和慢性高原病（Chronic mountain sickness,CMS）检查。采用t检验、卡方检验、线性相关、非参数检验、方差分析等统计方法进行分析。结果高原组行动能力、疼痛或不舒服、焦虑或沮丧各维度评分均显著高于对照组（P〈0.05）,EQ直观模拟标度尺（EQ visual analogue scale,EQ-VAS）评分显著低于对照组（P〈0.05）。行动能力、自我照顾、疼痛或不舒服、焦虑或沮丧各维度与CMS呈显著正相关（P〈0.05）,EQ-VAS评分与CMS呈显著负相关（P〈0.05）;疼痛或不舒服与心率和血红蛋白浓度呈显著正相关（P〈0.05）,EQVAS评分与心率呈显著负相关（P〈0.05）。高原组中健康组、轻度CMS组、中重度CMS组各维度和EQ-VAS评分差异显著（P〈0.05）。结论常驻高原官兵的健康相关生命质量与CMS的发生有显著相关性。EQ-5D可以对高原官兵,尤其是CMS官兵的健康状况进行全面的评估,为高原卫勤保障措施的制定提供科学依据。

英文摘要：

Objective To investigate the status of health-related quality of life in officers and soldiers stationed at high altitude, and explore its relationship with chronic mountain sickness （CMS）. Methods A total of 956 subjects and 587 controls were sampled from the troops stationed at plateau and flatland respectively in a military command by stratified random sampling. Europe health-related quality of life questionnaire 5 dimensions （EQ-5D） and CMS diagnoses were performed on them. Student＇s t test, Chi- square, Correlation test, Nonparametric analysis, and ANOVA were used for analysis. Results The scores of mobility, pain/discomfort and anxiety/dispersion were significantly higher （P 〈 0.05 ）, and the scores of EQ visual analogue scale （EQ-VAS） were significantly lower （P 〈 0.05 ） in the high altitude group than the control. The dimensions of mobility, self-care, pain/discomfort and anxiety/dispersion were positivelycorrelated with CMS （ P 〈 0.05 ）. The scores of EQ-VAS were negatively correlated with CMS （ P 〈 0.05 ）. Pain/discomfort had positive correlation with heart rate and hemoglobin concentration （p 〈 0. 05）. The scores of EQ-VAS had negative correlation with heart rate （P 〈 0.05 ）. There were significant differences in different dimensions and EQ-VAS score among those health, with mild and moderate-severe CMS from the high altitude group （P 〈 0.05 ）. Conclusion Health-related quality of life is significant correlated with the occurrence of CMS in the officers and soldiers stationed in high altitude. EQ-5D can offer a comprehensive evaluation to the beahb state of the soldiers, especially those with CMS, and provide scientific evidences for the establishment of altitude medical service measures.