在9/11后的服务人员和退伍军人中,自我报告的头的流行率和危险因素
Anneka Sonstroem1,2, Samrita Thapa1,2, Kaylee Pigott1,3
1VA RR&D, National Center for Rehabilitative Auditory Research, VA Portland Health Care System, Portland, OR 97239, USA.
Military medicine
|November 10, 2023
概括
在军事人员中,头是很常见的. 创伤性脑损伤 (TBI),有或没有爆炸暴露,显著增加了头的风险. 在这项研究中,单独暴露于布拉斯特并没有增加头风险.
科学领域:
- 军队的医疗卫生.
- 神经学 神经学
- 流行病学 流行病学
背景情况:
- 头是一种常见的症状,在美国军事人口中不清楚的流行率.
- 头通常与爆炸暴露和创伤性脑损伤 (TBI) 有关.
- 爆炸和TBI对头的独立贡献需要评估.
研究的目的:
- 估计9/11后服务人员和退伍军人的头患病率.
- 检查TBI病史,爆炸暴露和自我报告的头之间的关联.
- 调查TBI和爆炸暴露对头的独立和联合影响.
主要方法:
- 研究包括424名服务人员和492名退伍军人从噪音研究.
- 后勤回归分析了TBI病史,爆炸暴露和头之间的关联.
- 模型按服务成员/退伍军人身份分层,并根据混因素进行调整.
主要成果:
- 服务人员中头的发病率为22%,退伍军人中为31%.
- 过去的TBI (带有或没有爆炸) 增加了头的可能性3-4倍.
- 没有TBI史的爆发暴露与增加的头没有关联.
结论:
- 自我报告的头在美国服务人员和退伍军人中很普遍.
- 创伤病史独立地与头有关,不管暴露于爆炸.
- 未来的研究应该专注于TBI病理生理学,用于治疗的治疗策略.
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