Stuart John A, Murray Kelly M, Ursano Robert J, Wright Kathleen M
Department of Psychiatry, Uniformed Services, University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814-4799, USA.
Mil Med. 2002 Feb;167(2):121-8.
This study examined the health status of 46,633 Persian Gulf War theater veterans who received full clinical evaluations in the Department of Defense's Gulf War Comprehensive Clinical Evaluation Program (CCEP) as of spring 2000. Clinical data analyzed included demographic information, 15 health symptoms, 19 wartime exposures, and primary and secondary physician-determined medical diagnoses based on International Classification of Diseases, 9th Revision, Clinical Modification, criteria. Findings and discussions are arrayed, by gender, with comparative 1996 data from the Department of Veterans Affairs Health Examination Registry Program. Many veterans reported fewer physical symptoms now than during the time of the Gulf War. Many endorsed symptoms of joint pain, fatigue, weight change, and sleep disturbances. Most reported exposure to diesel fuel and the nerve agent antidote pyridostigmine bromide; far fewer female veterans reported combat involvement. The most frequent primary or secondary diagnosed medical conditions were musculoskeletal/connective tissue diseases, ill-defined conditions, and mental disorders. Female veterans were diagnosed more frequently with mental disorders. Symptom endorsement and diagnosis rates between the CCEP and the Department of Veterans Affairs registry were not dissimilar. Overall, the self-reported general health of veterans with symptoms was much poorer (females had higher rates of "fair to poor" health than males) than that of veterans with no reported symptoms.
本研究调查了截至2000年春季在国防部海湾战争综合临床评估项目（CCEP）中接受全面临床评估的46,633名海湾战争战区退伍军人的健康状况。分析的临床数据包括人口统计学信息、15种健康症状、19种战时接触情况，以及基于《国际疾病分类》第9版临床修订版标准由主诊和次诊医生确定的医学诊断。研究结果和讨论按性别排列，并与退伍军人事务部健康检查登记项目1996年的比较数据进行对比。许多退伍军人报告称，他们现在的身体症状比海湾战争期间有所减少。许多人认可关节疼痛、疲劳、体重变化和睡眠障碍等症状。大多数人报告接触过柴油燃料和神经毒剂解毒剂溴化吡啶斯的明；报告参与战斗的女性退伍军人要少得多。最常见的主诊或次诊医学病症是肌肉骨骼/结缔组织疾病、不明病症和精神障碍。女性退伍军人被诊断出患有精神障碍的频率更高。CCEP和退伍军人事务部登记处之间的症状认可率和诊断率并无差异。总体而言，有症状的退伍军人自我报告的总体健康状况比无报告症状的退伍军人差得多（女性“健康状况一般到较差”的比例高于男性）。
