某院校新生300km徒步行军伤病情况及卫生防疫保障初步探讨

The invaliding investigation in a college's freshmen during the period of 300km march on foot to explore sanitary and antiepidemic supporting measures support

目的分析某军医大学新学员长途徒步行军伤病特征,并探讨其卫生防疫保障措施。方法系统整理徒步行军医疗就诊档案,采用SPSS 20.0数据录入及分析方法,结合本次卫生防疫保障方案和文献调研,提出具体措施。结果新训学员就诊人次率高达250.19%(1351/540),常见伤病包括脚泡、上呼吸道感染、胃肠炎、擦伤、软组织伤,占全部诊治人次的77.47%;各伤病的就诊人次存在一定时间特征。结论新生长途徒步行军伤病谱和特征存在一定特殊性,应根据伤病谱和特征、训练科目和卫生流行病学调查结果进一步强化卫生流行病学侦查、疾病监测和信息分析等措施,从而提早做好施训前防伤病健康教育,科学合理制订卫生防疫保障预案,加强应急医疗事件处突能力,有效防止训练伤病发生。

Objective To investigate the invaliding characters of a Military Medical University new students during their long foot march, and to explore sanitary and antiepidemic supporting measures. Methods On the basis of the medical treatment records during the period of 300 km foot march, we used SPSS 20.0 data entry and analysis methods to raise the concrete measures according to this sanitary and antiepidemic programs and literature collection. Results The visit rate of freshmen having treatment was 250.02% （1351/540）, including foot bubble, upper respiratory tract infection, gastroenteritis, abrasions, soft tissue injuries, which account for 77.47% of all diagnosis and treatment. Besides, the treatment people with different invalidings had time characteristics in some degree. Conclusion The invaliding spectrum of the long march on foot was specific and we should take health education in advance before military training and formulate sanitary and antiepidemic supporting measures to strengthen the ability to handle emergency medical events and prevent training invalidings according to the sanitary-epidemiological investigations and disease surveillance.