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目的了解哈尔滨市中学生慢性疲劳综合征以及所致学校拒绝的流行现况,探讨影响儿童慢性疲劳的相关因素。方法随机选取哈尔滨市市区初、高中学校各1所,附属乡镇中学1所(包括初中部和高中部),以整群抽样的方法对3所学校的初中一、二年级、高中一、二年级的中学生进行问卷调查。问卷内容包括自拟的一般情况调查表、睡眠问题及相关症状调查表、抑郁自评量表(SDS)、焦虑自评量表(SAS)及疲劳量表-14。结果哈尔滨市中学生慢性疲劳综合征总检出率为14.6%,且在不同年级、不同性别间差异均有统计学意义(P值均<0.05);慢性疲劳综合征的中学生焦虑和抑郁的发生率均明显高于正常组,差异均有统计学意义(P值均<0.01);慢性疲劳综合征的中学生躯体疲劳和脑力疲劳得分均高于正常组,差异均有统计学意义(P值均<0.05)。结论哈尔滨市中学生慢性疲劳综合征的检出率相对较高,且慢性疲劳中学生伴有明显的情绪障碍、躯体疲劳和脑力疲劳,应予以重视并尽早进行干预。
Objective To understand the chronic fatigue syndrome of middle school students in Harbin and the prevalence of refusal in schools, and to explore the related factors that affect children’s chronic fatigue. Methods A total of 1 primary and secondary schools and 1 secondary township middle school (including middle school and high school) in Harbin were randomly selected. The first and second year of high school, Secondary school students to conduct a questionnaire survey. The questionnaire included a self-administered general questionnaire, a sleep disorder and related symptoms questionnaire, a self-rating depression scale (SDS), an anxiety self-rating scale (SAS) and a fatigue scale -14. Results The total detection rate of chronic fatigue syndrome among middle school students in Harbin was 14.6%, and there were significant differences in different grades and gender (P <0.05). The incidence of anxiety and depression in middle school students with chronic fatigue syndrome (P <0.01). The scores of somatic fatigue and mental fatigue in middle school students with chronic fatigue syndrome were significantly higher than those in normal group (P <0.05), and the differences were statistically significant (P < 0.05). Conclusions The detection rate of chronic fatigue syndrome in middle school students in Harbin is relatively high, and the middle school students with chronic fatigue have obvious emotional disorders, physical fatigue and mental fatigue, which should be paid attention to and intervened as soon as possible.