<正>患者男,25岁,初中文化,未婚,船员。平日性格内向、做事认真、犹豫不决、多虑、苛求自己。主诉:对长距离航行恐怖不安1个月。

为了了解航行训练舰员的心理健康状态和心理干预对舰员心理变化的影响,我们对2艘同一型号舰艇的艇员在航行训练前、中、后进行了跟踪调查,现将调查结果报告如下.

目的研究船员远航期间的心理健康状况的动态变化规律.方法对航行132d的船员在航行前和航行中进行5次SCL-90心理测试.结果航行中SCL-90各因子得分、阳性项目数和阳性均分的变化规律总体上呈现"两头高"趋势,最高峰大多出现在航行前,次高峰大多出现在返航期.结论在备航期和返航期船员的心理健康状况下降,应该引起注意.

Objective To explore methods of providing psychological medical support to sailors undergoing a prolonged navigation.Methods the Minnesota Multiphasic Personality Inventory(MMPI)and Symptom Checklist90(SCL-90)tests were given to sailors before deployment,and psychological profiles were established;Psychological care training was given to the shipboard medical staff;Psychological intervention was offered to those sailors,who exhibited symptoms;Psychological consultation was given to sailors by medical professionals during the prolonged navigation and dynamic SCL-90testing was also made in the process.Results For sailors who exhibited relatively severe symptoms before deployment,significant decline(P0.001)could be seen in the mean factor score and positive mean score for SCL-90,after they were intervened psychologically.During deployment,various patterns of factors and positive mean scores generally show a“bi-polar”trend,indicating an early arrival and lengthening of optimal navigational period.Conclusions Early psychological survey and intervention implemented by psychological specialists and medical staff onboard,with special emphasis on the solution of those psychological problems that arose pre and post deployment,will be of great help in enhancing the sailors' psychological endurance.

Objective To research the dynamic variation patterns of the psychological health of long-distance sailors.Methods Prior to and during sailing, the Symptom Checklist 90(SCL-90)test were given to sailors five times.Results The various patterns of the factors and positive mean scores generally showed abi-polar trend.The peak appears mostly during the pre-voyage period.The sub-peak appeared mostly during the returning period.Conclusion Psychological issues tend to arise more frequently during the pre-voyage and returning periods. More attention should be paid during these periods.

目的：通过核潜艇２５昼夜远航，评价“银参冲剂”对远航艇员的保健效能。方法；１３５名核潜艇艇员随机分成３组，分别给予“银参冲剂”、银耳孢糖及安慰剂。在连续２５昼夜远航前、后，检测心理、神经功能、血浆性激素水平、免疫、外周血白细胞计数、心肺功能及听力等，并对各组检测结果进行比较。结果：服用“银参冲剂”可显著改善远航艇员视觉注意的集中性和稳定性，改善艇员情绪状态，刺激增加外周血白细胞总数，对辐射敏感的性腺器官有一定保护作用，还能改善左心功能（ＥＳＶ、ＥＤＶ、ＣＯ），并显著地减少“第三状态”的发生。长期服用未发现有任何毒副作用。结论：“银参冲剂”能有效地减轻核动力潜艇远航条件对机体的不良影响，并提高艇员的耐受力和健康水平。