西部战区卫生战士健康状况调查分析  

Survey and analysis on health status in medical soldiers in Western Theater Command

作　　者：王晓刚 万凌辉 王晓[1] 杨仲博 郑霖洲 李博[2] 吕琳琳 王莹 马珂[2,3] WANG Xiaogang;WAN Linghui;WANG Xiao;YANG Zhongbo;ZHENG Linzhou;LI Bo;LYU Linlin;WANG Ying;MA Ke(Department of Chemical Defense Medicine,Faculty of Military Preventive Medicine,Army Medical University(Third Military Medical University),Chongqing,400038;Training Group of Frontier Defense Medical Service,Army Medical University(Third Military Medical University),Changji,Xinjiang Uygur Autonomous Region,831200;Medical Security Center,Army Medical Center of PLA,Chongqing,400042,China)

机构地区：[1]陆军军医大学(第三军医大学)军事预防医学系防化医学教研室,重庆400038 [2]陆军军医大学(第三军医大学)边防卫勤训练大队,新疆昌吉831200 [3]陆军特色医学中心医疗保障中心,重庆400042

出　　处：《陆军军医大学学报》2023年第13期1476-1482,共7页Journal of Army Medical University

基　　金：陆军军医大学科技创新能力提升专项青年培育课题(2020XQN11)。

摘　　要：目的调查分析西部战区卫生战士的健康状况及其影响因素。方法2020-2021年期间,以驻地在西部战区的卫生战士为研究对象,根据《国际疾病分类》第十版制定健康调查问卷,收集志愿者的基本信息、生活方式、疾病症状等。结果纳入了716名合格志愿者。8个系统症状发生率分布在10.8%~42.6%之间,由高到低依次为神经系统、肌肉骨骼系统、呼吸系统、血液系统、泌尿系统、消化系统、内分泌系统、循环系统。吸烟组呼吸系统症状发生率显著高于不吸烟组(31.6%vs 24.0%,P=0.025)。驻地海拔≥3000 m组的呼吸系统(34.4%vs 25.9%,P=0.028)、内分泌系统(23.3%vs 15.3%,P=0.014)、神经系统(49.4%vs 40.3%,P=0.032)症状发生率均显著高于驻地海拔<3000 m组。在驻地海拔≥3000 m的志愿者中,军龄≥6年组的循环系统(28.6%vs 11.0%)、内分泌系统(42.9%vs 21.0%)、神经系统(67.9%vs 42.0%)、泌尿系统(53.6%vs 24.0%)症状发生率显著高于军龄≤2年组(P<0.05)。结论西部战区卫生战士神经系统和肌肉骨骼系统疾病症状发生率高,高原条件下长期服役可能对健康的损害作用更大。Objective To investigate and analyze the health status and its influencing factors in medical soldiers in Western Theater Command.Methods During 2020 and 2021,medical soldiers who stationed in Western Theater Command were recruited as study objects.Based on the International Classification of Disease(ICD-10),a questionnaire on health status was developed.Basic information,lifestyle and signs and symptoms were collected from these participants.Results A total of 716 volunteers were eligible for this study.The incidences of symptoms ranged from 10.8%to 42.6%,with an order from high to low was:nervous system,musculoskeletal system,respiratory system,blood system,urinary system,digestive system,endocrine system and circulatory system.The symptom incidence of respiratory system was significantly higher in the smokers than the non-smokers(31.6%vs 24.0%,P=0.025).The symptom incidences of respiratory system(34.4%vs 25.9%,P=0.028),endocrine system(34.4%vs 25.9%,P=0.028),and nervous system(34.4%vs 25.9%,P=0.028)were obviously higher in the altitude≥3000 m group than the<3000 m group.Among the volunteers located≥3000 m,the symptom incidences of circulatory system(28.6%vs 11.0%),endocrine system(42.9%vs 21.0%),nervous system(67.9%vs 42.0%)and urinary system(53.6%vs 24.0%)were notably higher in those with length of military service≥6 years than those≤2 years(P<0.05).Conclusion The symptom incidences of nervous system and musculoskeletal system are quite high in the participants.Long-term service in high altitude conditions may be more harmful to health.

关 键 词：疾病谱 高原 军事训练 西部战区 

分 类 号：R192[医药卫生—卫生事业管理] R195.4[医药卫生—公共卫生与预防医学] R821.2