驻京某卫戍部队战士淤积性皮炎流行病学调查与研究

An epidemiological study of stasis dermatitis in servicemen of Beijing Garrison

目的：了解目前驻京某卫戍部队战士淤积性皮炎（SD）的发生、分布规律。方法：以驻京某卫戍部队676名男性战士为调研究对象，年龄18～30岁，服役时间1～11年，通过问卷调查、体格检查、足背部皮肤局部微循环检测和下肢静脉超声检查进行下肢静脉曲张及 SD 的流行病学调查。结果：战士 SD 的患病率为2.37%，其中承担国家级军事单位警卫任务的值勤战士患病率为6.36%，服役2~5年（不包括5年）战士患病率达到3.48%，身高在180 cm以上的战士患病率达到6.57%，分别较其他级别军事单位值勤组、服役时间组和身高组的患病率高（P＜0.05）。确诊下肢静脉曲张患者38人（5.62%），均在18~24岁年龄组。结论：卫戍部队战士 SD、下肢静脉曲张等疾病患病率较高。发病率与战士值勤保障单位级别、服役时间、个人身高等因素有关。

Objective：To study the prevalence,genesis,distribution pattern,characteristics and prevention of stasis dermatitis （SD）in soldiers of Beijing Garrison. Methods：Six hundred and seventy-six male soldiers from Beijing Garrison,age from 18 to 30 years old,and having joined the army for 1 to 11 years,were involved. A questionnaire,physical examination,local microcirculation examination of skin of dorsum of foot,ultrasonograph-ic examination of lower extremity were carried out. Results：The incidence of SD in this group of soldiers was 2.3 7%,while the incidence was 6.3 6% in soldiers who were guardsmen of the military institutions. Among the soldiers who joined the army for 2-5 years,3.48% of them suffered SD. The incidence reached 6.57% in sol-diers whose height was over 180 cm.The incidence of varicose veins of lower extremity was 5.62% （38 cases）, and the age of all the 38 patients was in the range of 18 to 24 years old. Conclusions：The incidence of varicose veins of lower extremity and stasis dermatitis in soldiers is higher than that of the general population. New thera-pies and new preventive methods for stasis dermatitis is lacking. The incidence is related to the rank of institution where the servicemen are deployed,duration of service,and body height.