中文摘要：

目的了解常驻高原部队官兵的睡眠质量情况,探讨其与慢性高原病之间的关系。方法采用分层随机抽样的方法,从某军区高原驻防部队中抽取956名连续驻守高原6个月以上的男性军人作为高原组,同时抽取该军区在平原地区驻防的587名未进驻过高原的男性军人作为对照组。采用匹兹堡睡眠质量指数量表（PSQI）搜集研究对象的睡眠情况,采用慢性高原病（CMS）症状问卷并结合生理学检查指标确定是否存在CMS以及CMS的程度。比较高原组整体及其两个亚组（健康亚组和CMS亚组）与对照组的各项生理指标和PSQI量表评分的差异。分析高原组PSQI和CMS评分与其生理指标的相关性,及其PSQI睡眠质量各项评分与CMS评分的相关性,分析高原组中3个CMS亚组（健康、轻度、中重度）间PSQI各项分值和生理指标的差异。结果高原组的收缩压、心率和血红蛋白浓度均明显高于对照组（P〈0.05）,血氧饱和度明显低于对照组（P〈0.05）;高原组PSQI各指标分值均明显高于对照组（P〈0.05）。在高原组中,健康亚组和CMS亚组的收缩压、心率、血氧饱和度和血红蛋白浓度均明显高于对照组（P〈0.05）,且CMS亚组的舒张压明显高于对照组（P〈0.05）;除催眠药物应用这一指标外,高原组中健康亚组和CMS亚组的PSQI各指标均明显高于对照组（P〈0.05）。在高原组中,睡眠时间分值与收缩压呈明显负相关（P〈0.05）,睡眠效率分值与心率呈明显负相关（P〈0.05）,睡眠时间分值与血氧饱和度呈明显正相关（P〈0.05）;CMS评分与收缩压、舒张压、心率、血红蛋白浓度呈明显正相关（P〈0.05）,与血氧饱和度呈明显负相关（P〈0.05）;除催眠药物应用这一指标外,PSQI各项评分与CMS评分均呈明显正相关（P〈0.05）。在高原组的3个亚组中,轻度和中重度CMS亚组的血氧饱和度明显低于健康亚组（P〈0.05）,而血红蛋白浓?

英文摘要：

Objective To investigate the sleep status of troops stationed in highland areas, and approach its correlation with chronic mountain sickness （CMS）. Methods Stratified-random sampling method was employed and 956 male soldiers stationed in plateau for more than 6 consecutive months were selected from a garrison troops as the study objects （plateau group）, and 587 male soldiers from the same garrison troops stationed at plain areas without any experience of highland garrison were selected as the control group. Pittsburgh Sleep Quality Index （PSQI） was employed to collect the sleep status of the soldiers and CMS symptom questionnaire combined with physiological parameters was adopted to determine the existence of CMS and its severity. Physiological parameters and PSQI scores were studied and compared between soldiers in the plateau group as well as its two subgroups （healthy subgroup and CMS subgroup） and those in the control group. Correlation analysis between PSQI and CMS scores and physiological parameters, as well as between PSQI of sleep quality and CMS scores of soldiers stationed at plateau were carried out. Differences of PSQI scores and physiological parameters among the three CMS subgroups （healthy subgroup, mild subgroup and moderate and severe subgroup） were analyzed. Results The systolic blood pressure （SBP）, heart rate （HR） and hemoglobin （Hb） concentration were significantly higher （P〈0.05）, while the oxyhemoglobin （SpO2） was significantly lower in plateau group than in control group （P〈0.05）. All the PSQI scores were higher in plateau group than in control group （P〈0.05）. Among the soldiers in plateau group, the SBP, HR, SpO2 and Hb concentration were significantly higher in those of healthy subgroup and the CMS subgroup than those in the control group （P〈0.05）. Meanwhile, the diastolic blood pressure （DBP） was significantly higher in soldiers of the CMS subgroup than those in the control group （P〈0.05）. Except for the index of slee