高原藏区新兵集训期发病情况及临床分析

Incidence and clinical analysis of diseases among new recruits during training on Tibetan plateau

目的分析2017年高原藏区某部参加新训的新兵疾病谱,为优化卫生资源配置提供科学依据。方法对新兵进行问卷调查,同时收集并统计研究对象在3个月新训期内入院情况。通过调查问卷,分析新兵户籍、入伍地海拔及吸烟、饮酒史等对各系统疾病发生率的影响,并考察新兵对新训的适应情况。结果居前5位的系统疾病分别为呼吸系统疾病(46.65%)、骨骼肌肉结缔组织疾病(25.14%)、皮肤及皮下组织疾病(12.01%)、消化系统疾病(6.01%)和循环系统疾病(4.75%)。70%以上的新兵可以较好地适应训练,同时入伍地海拔等因素影响不同系统疾病的发生率。结论明确驻高原藏区新兵新训时的常见疾病,可以丰富新训卫勤保障理论体系,提高武警部队新训质量和水平。

Objective To analyze the disease spectrum of recruits on the Tibet plateau in 2017 and to provide reference for improving the physical fitness of troops on the Tibetan plateau and optimizing the allocation of health resources. Methods A questionnaire survey was conducted beforethe data on hospital treatment during the three-month training period was collected and analyzed. The impact of household registration of recruits,the altitude of their previous residence,smoking and drinking history on the incidence of various diseases was explored through the results of the questionnaire,and the adaptation to the training was investigated. Results The top five systemic diseases were respiratory diseases(46. 65%）,skeletal muscle connective tissue diseases(25. 14%）,skin and subcutaneous tissue diseases(12. 01%）,digestive diseases(6. 01%） and circulatory diseases 4. 75%） respectively. More than 70% of the recruits were able to adapt to the training,and such factors as the altitude of their previous residence had effect on the incidence of diseases of different systems. Conclusions Identification of the common diseases among recruits during training on the Tibetan plateau can enrich the theoretical system of medical servicesand improve the quality and standard of training for the Armed Police Force.