某部队野外驻训期间急性腹泻发生的多因素分析

A MULTI-FACTORIAL ANALYSIS ON RISK FACTORS OF ACUTE DIARRHEA OF A CERTAIN UNIT IN SOUTHERN AREA OF CHINA DURING A FIELD EXERCISE

目的 :探讨部队野外驻训期间急性腹泻病的个体和群体危险因素 ,为制定防治措施提供参考依据。方法 :对南方某高炮部队野外驻训期间的急性腹泻病资料进行收集、整理、统计、分析。结果 :多因素Logistic回归分析发现个体发生腹泻病的危险因素为发病前 7d喝生水、外出就餐、接触腹泻病人、卫生知识缺乏、精神抑郁、不常剪指甲和睡眠时间不足 ;发生严重病例的危险因素为发病前 7d喝生水、外出就餐和饭前不洗手。回归和判别分析结果显示 ,驻训部队的发病率与其苍蝇密度和人均日供开水量有关 ,由 6个因素组成的发病率判别方程的判别正确率达 91.9%。结论 :本结果为部队在紧急状态下野外驻训期间腹泻病的预防提供了参考依据 。

Objective:To explore the risk factors of individual and groups of acute diarrheal disease in army during field training, so as to provide bases for making preventive measures. Methods: Data of acute diarrheal disease in a certain artillery during a field exercise were collected, sorted out and analyzed. Results:The multi-factorial logistic regression analysis showed that drinking not boiled water in a week before diarrhea, not eating in mess hall, contacting with diarrhea patients,lacking hygiene knowledge, depression, infrequently cutting fingernails and not having enough sleep were the most main individual factor. Drinking not boiled water in a week before diarrhea, going out to have a meal and not washing hands before meal were the risk factors of the serious patients. Regression and discrimination analysis suggested that the incidence rate was correlated with the density of flies and daily average supply of boiled water, and the correct rate of discrimination was 91.9% from the equation made up by six factors. Conclusion: These results provided a basis for prevention of the acute diarrheal disease during field training in army.