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目的:观察长航对女舰员心理及性激素水平和月经的影响。方法:选择首次出海长航的女性舰员33例,分别于出航前及返航前采用症状自评量表(SCL-90)进行心理测评;分别于出航前1个月内、返航前1个月及到港3个月后,检测泌乳素(PRL)、促卵泡激素(FSH)、黄体生成素(LH)、雌二醇(E2)及睾酮(T)水平,同时观察月经周期、经期等变化。结果:返航前1个月,女舰员SCL-90总分、躯体化、焦虑、偏执及其他因子分值显著或非常显著高于长航前(P<0.05,P<0.01)。长航中,女舰员FSH、LH、E2水平非常显著低于长航前(P<0.01),PRL水平显著高于长航前(P<0.05);长航后3个月,血清PRL、FSH、LH、T、E2水平与长航前比较差异不显著(P>0.05)。长航中,女舰员月经周期异常、经期异常及痛经发生率均显著或非常显著高于长航前(P<0.05,P<0.01);长航结束后3个月,女舰员月经周期异常、经期异常及痛经发生率与长航前比较差异不显著(P>0.05)。结论:长航对女舰员生殖内分泌的影响是功能性改变,并未造成器质性损害,但仍需重视女舰员长航期间的心理卫生及生殖健康保健工作。
OBJECTIVE: To observe the effects of long voyage on the psychological and sexual hormone levels and menstruation of female sailors. Methods: Thirty-three female seafarers were selected for sea-going for the first time. Psychological evaluation was conducted before and before the flight with symptom check list (SCL-90) respectively. Within 1 month before departure and 1 month before return (PRL), follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2) and testosterone (T) were measured at the end of the study period. The changes of menstrual cycle and menstrual cycle . Results: The scores of SCL-90 total score, somatization, anxiety, paranoid and other factors of female sailors one month before returning were significantly or significantly higher than those of long flight (P <0.05, P <0.01). During the long flight, the levels of FSH, LH and E2 were significantly lower than those before long-haul (P <0.01), and the levels of PRL were significantly higher than those before long-haul (P <0.05) The levels of FSH, LH, T and E2 were not significantly different from those before long voyage (P> 0.05). In the long flight, the abnormality of menstruation period, the abnormality of menstrual period and the incidence of dysmenorrhea were all significantly or significantly higher than those of long flight (P <0.05, P <0.01). After 3 months of long voyage, Abnormal, menstrual abnormalities and the incidence of dysmenorrhea compared with the long flight before the difference was not significant (P> 0.05). CONCLUSIONS: The effect of long flights on reproductive endocrine of female sailors is a functional change that did not cause any organic damage. However, mental health and reproductive health care work should still be emphasized during the long life of the crew.