某部地下指挥所转进任务卫勤保障方法研究

Research on health service method of retreat in a military underground control center

目的通过对地下指挥所的环境空气质量检测、水质检测、食品卫生检测以及疾病监测,发现地下指挥所驻训存在的问题,提出相应的防护措施对坑道实施规范化管理,及时解决问题以保障指挥所指战员的身体健康,维护部队的战斗力。方法参与某地下指挥所转进任务防疫保障任务,收集相关资料对环境质量,水质,食品卫生进行监测以及疾病分布资料分析,用配对t检验对指挥大厅和休息区环境质量进行统计学分析。结果在驻训的30天时间内,地下指挥所环境空气质量均符合《屯兵坑道微小气候卫生标准》,指挥大厅温度,照度,噪度高于休息区,PM2.5方面休息区要高于指挥大厅,水质检测中2016和2017年水样中菌落总数均超出限值;食品卫生监测大肠菌群检测均有部分超标;食品加工场所管理方面存在着一定的问题。驻训期间官兵的主要疾病及构成比为骨关节疼痛56例(19.58%),湿疹50例(17.48%),上呼吸道感染41例(14.34%),口腔溃疡32例(11.19%),急性胃肠炎26例(9.09%),咽炎24例(8.39%),外伤21例(7.34%),脚气2例(0.70%),其他34例(11.89%)。结论地下指挥所转进任务期卫生防疫工作基本符合要求,餐具等存在大肠菌群污染的情况,食品加工间管理存在漏洞,水质存在细菌污染情况。

[Objective]Through the detection of the ambient air quality,water quality testing,food hygiene testing and disease monitoring in a military underground control center,to find out the problems existing in the training of underground command center,put forward corresponding protective measures to standardize the management of tunnel,solve problems in time,and ensure the health of command officers and maintain the combat effectiveness of the army.[Methods]By participating in the health service task of retreat in a military underground control center,relevant data were collected to monitor environmental quality,water quality,food hygiene,and the data of disease distribution were analyzed.The paired t-test was used to statistically analyze the environmental quality of command lobby and rest area.[Results]The statistical results showed that,within 30 days of training,the ambient air quality of the underground command center met the Microclimate Hygienic Standards for Garrison Tunnels.The levels of temperature,illumination and noise in command lobby were higher than those in rest area,while the concentration of PM2.5 in rest area was higher than that in command lobby.The water quality test showed that the total colony number in water samples in 2016 and 2017 were higher than limit.The food hygiene monitoring showed that the coliform bacteria in some samples exceeded the standard,and there are some problems in the management of food processing places.During the training,the main disease s and constitute ratio were as follo ws:56(19.58%)cases of bone and joint pain,50(17.48%)cases of eczema,41(14.34%)cases of upper respiratory tract infec tion,32(11.19%)cases of oral ulcer,26(9.09%)cases of acute gastroenteritis,24(8.39%)cases of pharyngitis,21(7.34%)cases of trauma,2(0.70%)cases of beriberi,and 34(11.89%)cases of others.[Conclusion]The health service in a military underground control center during the retreat period basically meets the requirements,but the tableware are contaminated by coliform bacteria,food processing room management has loopholes,and water quality testing shows there exists bacterial contamination.