驻高原部队患病及防治调查研究

Study on disease prevalence and prevention among plateau-stationed troops

目的调查部队患病的影响因素并提出防范措施。方法通过问卷、座谈、交流及查阅资料等方式对高原地区官兵的衔职、兵龄、年龄及过去一年患病情况等资料进行分析,从而有针对性的提出预防措施,为降低患病率提供依据。结果调查患病人数408人,患病率为40.9%,义务兵占患病人数的21.7%,农村兵占27.0%,大学生占22.3%。患病构成比偶尔吸烟占15.4%,未婚占33.8%。睡眠质量中一般占23.3%,工作压力中一般占19.0%。海拔大于4 000 m组占20.8%。训练程度正常组占19.8%。卡方检验的多重比较,婚姻状况、睡眠质量、工作压力、海拔高度四组的各组组内比较P<0.05,说明与高原患病有密切关系。结论有效降低患病率可通过多形式的健康教育、巡诊、心理辅导、关注重点人群、提高睡眠质量、减轻工作压力等方面进行干预,对提高部队战斗力有重要意义。

Objective To investigate the influence factors of disease in plateau-stationed troops and put forw ard pre-ventative m easures.Methods R anks,arm y spans,ages and disease prevalence condition of the plateau-stationed officers and soldiers in the past one year w ere analyzed through questionnaires,discussions,exchanges and inform ation access in order to propose targetedly preventive m easures to reduce the prevalence.Results 408 sufferers w ere investigated w ith a prevalence of 40 .9% ,am ong w hich com pulsory servicem en accounting for 21 .7% ,rural soldiers accounting for 27 .0% ,and college students accounting for 22 .3% .O ccasional sm oking accounted for 15 .4% ,unm arried accounted for 33.8% .Sleep quality in general accounted for 23.3% ,com m on w orking pressure accounted for 19.0% .M ore than 4 000 m eters above sea level group accounted for 20 .8% .T raining level norm al group accounted for 19 .8% .C hi-square test m ultiple com parison show ed m arital status,sleep quality,w orking pressure,altitude of intra-group com parison w as P〈0.05,w hich indicated the close relationship w ith plateau prevalence.Conclusion Prevalence rate can be effectively re-duced through m ultiple form s including health education ,round visits,psychological counseling ,focus on special peo-ple,im proving the sleep quality,reducing the w ork pressure and so on,w hich has im portant significance to im prove the battle effectiveness.