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第一次海湾战争退伍军人症状的持续性:5年随访。

Persistence of symptoms in veterans of the First Gulf War: 5-year follow-up.

作者信息

Ozakinci Gozde, Hallman William K, Kipen Howard M

机构信息

Bute Medical School, University of St. Andrews, St. Andrews, Fife, Scotland, United Kingdom.

出版信息

Environ Health Perspect. 2006 Oct;114(10):1553-7. doi: 10.1289/ehp.9251.

DOI:10.1289/ehp.9251
PMID:17035142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1626433/
Abstract

BACKGROUND

During the 1990-1991 Gulf War, approximately 700,000 U.S. troops were deployed to the Persian Gulf theater of operations. Of that number, approximately 100,000 have presented medical complaints through various registry and examination programs.

OBJECTIVES

Widespread symptomatic illness without defining physical features has been reported among veterans of the 1991 Gulf War. We ascertained changes in symptom status between an initial 1995 symptom evaluation and a follow-up in 2000.

METHODS

We assessed mailed symptom survey questionnaires for 390 previously surveyed members of the U.S. Department of Veterans Affairs Gulf War Registry for changes over the 5-year interval in terms of number and severity of symptoms.

RESULTS

For the cohort as a whole, we found no significant changes in symptom number or severity. Those initially more symptomatic in 1995 showed some improvement over time, but remained much more highly symptomatic than those who had lesser initial symptomatology.

CONCLUSIONS

The symptom outbreak following the 1991 Gulf War has not abated over time in registry veterans, suggesting substantial need for better understanding and care for these veterans.

摘要

背景

在1990 - 1991年海湾战争期间,约70万美军被部署到波斯湾战区。其中约10万人通过各种登记和检查程序提出了医疗投诉。

目的

据报道,1991年海湾战争的退伍军人中存在广泛的有症状疾病,但无明确的身体特征。我们确定了1995年首次症状评估与2000年随访之间症状状态的变化。

方法

我们评估了美国退伍军人事务部海湾战争登记处390名先前接受调查成员的邮寄症状调查问卷,以了解5年间症状数量和严重程度的变化。

结果

对于整个队列,我们发现症状数量或严重程度没有显著变化。1995年最初症状较多的人随着时间推移有一些改善,但仍比最初症状较轻的人症状严重得多。

结论

1991年海湾战争后的症状爆发在登记的退伍军人中并未随时间减轻,这表明非常需要更好地了解和照顾这些退伍军人。

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本文引用的文献

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Br J Psychiatry. 2006 May;188:453-9. doi: 10.1192/bjp.188.5.453.
2
Gulf War veterans' health: medical evaluation of a U.S. cohort.海湾战争退伍军人的健康状况:对美国一个队列的医学评估。
Ann Intern Med. 2005 Jun 7;142(11):881-90. doi: 10.7326/0003-4819-142-11-200506070-00005.
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Why do people report better health by phone than by mail?为什么人们通过电话报告的健康状况比通过邮件报告的更好?
Med Care. 2004 Sep;42(9):875-83. doi: 10.1097/01.mlr.0000135817.31355.6b.
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The long aftermath of the 1991 gulf war.1991年海湾战争的长期后果。
Ann Intern Med. 2004 Jul 20;141(2):155-6. doi: 10.7326/0003-4819-141-2-200407200-00015.
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Benefits and harms of doxycycline treatment for Gulf War veterans' illnesses: a randomized, double-blind, placebo-controlled trial.强力霉素治疗海湾战争退伍军人疾病的利弊:一项随机、双盲、安慰剂对照试验。
Ann Intern Med. 2004 Jul 20;141(2):85-94. doi: 10.7326/0003-4819-141-2-200407200-00006.
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BMJ. 2003 Dec 13;327(7428):1370. doi: 10.1136/bmj.327.7428.1370.
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Reported exposures, stressors, and life events among Gulf War Registry veterans.
J Occup Environ Med. 2003 Dec;45(12):1247-56. doi: 10.1097/01.jom.0000099980.38936.09.
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