Current situation and influencing factors of heatstroke in officers and soldiers from Southern Theater Command from 2017 to 2018

Lebin LIU; Huacheng YAN; Zhijian ZHOU; Xianfeng ZHAN; Wenyi LIU; Tao YIN; Daibo LI

doi:10.16016/j.1000-5404.201904090

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Current situation and influencing factors of heatstroke in officers and soldiers from Southern Theater Command from 2017 to 2018

Military Medicine | 更新时间：2026-01-09

- Current situation and influencing factors of heatstroke in officers and soldiers from Southern Theater Command from 2017 to 2018
- Journal of Third Military Medical University Vol. 41, Issue 17, Pages: 1620-1626(2019)
- 作者机构：
  
  510507 广州，中国人民解放军南部战区疾病预防控制中心
- 作者简介：
- 基金信息：
  
  the Project of Logistic Science and Technology of PLA(AWS16J023)
- DOI：10.16016/j.1000-5404.201904090
  CLC： R195.4;R254.21;R821.2
- Received：11 April 2019，
  
  Revised：2019-05-27，
  
  Published：15 September 2019
- 稿件说明：
移动端阅览
Lebin LIU, Huacheng YAN, Zhijian ZHOU, et al. Current situation and influencing factors of heatstroke in officers and soldiers from Southern Theater Command from 2017 to 2018[J]. Journal of Third Military Medical University, 2019, 41(17): 1620-1626.
DOI：

Lebin LIU, Huacheng YAN, Zhijian ZHOU, et al. Current situation and influencing factors of heatstroke in officers and soldiers from Southern Theater Command from 2017 to 2018[J]. Journal of Third Military Medical University, 2019, 41(17): 1620-1626. DOI： 10.16016/j.1000-5404.201904090.

摘要

目的

调查2017-2018年南部战区官兵中暑现状，分析可能的影响因素。

方法

随机整群抽样南部战区陆军、海军、空军、联勤保障部队和火箭军5个军种23个单位共计1 699名官兵，通过问卷调查和病历查阅等方法，分析南部战区官兵中暑现状及影响因素。

结果

受调查官兵中近1年有138名(8.1%)发生过中暑，各军种的中暑发病率从高到低依次为海军(11.2%)、陆军(10.1%)、联勤保障部队(7.3%)、火箭军(5.1%)和空军(4.2%)，各军种间差异具有统计学意义(

0.05，

0.01)；按兵种专

业分，中暑发病率排在前3位分别是装甲兵(22.4%)、水面舰艇部队(15.8%)和炮兵(10.7%)，各兵种专业间差异有统计学意义(

0.01)。中暑发病时间集中在6-8月份，最容易发生中暑的训练科目是5公里越野。通过比较中暑人员和非中暑人员发现:中暑人员的女性比例、已婚比例、饮酒人数比例均大于非中暑人员，且差异具有统计学意义(

0.05)；此外，两组人员在睡眠质量、饮食状况、工作日平均每天体力劳动时间、疲劳训练频率、炎热时是否错时训练和中暑相关知识掌握度等方面差异也具有统计学意义(

0.05，

0.01)。

结论

南部战区官兵中暑发病率较高。睡眠质量、饮食状况、工作日平均每天体力劳动时间、疲劳训练频率、炎热时是否错时训练和中暑相关知识掌握度等因素可能是南部战区部队中暑发生的影响因素。

Abstract

Objective

To investigate the current situation of heatstroke among the officers and soldiers in Southern Theatre Command from 2017 to 2018

and to analyze the possible influencing factors.

Methods

A total of 1 699 officers and soldiers were subjected by random cluster sampling from 23 units of 5 military categories

including Army

Navy

Air Force

Joint Logistics Support Force and Rocket Army. The current situation and influencing factors of heatstroke in them were analyzed by means of questionnaire and case study.

Results

In the past year

138 officers and soldiers (8.1%) had heatstroke

and the incidence of heatstroke in each military service ranked from high to low as Navy (11.2%)

Army (10.1%)

Joint Logistics Support Force (7.3%)

Rocket Army (5.1%) and Air Force (4.2%)

with significant differences among among different military services (

0.05

0.01). According to the different military specialties

the top 3 specialties experiencing heatstroke were armored units (22.4%)

surface warships (15.8%) and artillery (10.7%)

and significant difference was seen among different military specialties (

0.01). The most common onset time of heatstroke was during June and August

and the most prone training subject was 5 km off-road. The results of the comparison study showed that the ratios of female

married and dr

inkers were significantly higher in those with heatstroke than those without (

0.05). Obvious differences were also seen in sleep quality

dietary status

average daily physical work time

frequency of fatigue training

training when avoiding the heat and the knowledge related to heatstroke between the 2 groups (

0.05

0.01).

Conclusion

The incidence of heatstroke in the officers and soldiers of Southern Theatre Command is relatively high from 2017 to 2018. Sleep quality

dietary status

average daily physical work time

frequency of fatigue training

training when avoiding the heat and knowledge related to heatstroke may be factors influencing the occurrence of heatstroke in them.

关键词

Keywords

references

王利华, 林淑瑜, 黄阳.驻南方某部夏季野战训练官兵中暑情况调查及防治[J].人民军医, 2013, 56(4): 416-417.

WANG L H, LIN S Y, HUANG Y. Investigation and prevention of heatstroke in summer field training officers and soldiers stationed in South China[J]. People Mil Surg, 2013, 56(4): 416-417.

何强华, 周赤龙, 李裕标, 等.军事训练所致劳力性热射病的临床特点及治疗[J].海军医学杂志, 2011, 32(5): 315-318. DOI:10.3969/j.issn.1009-0754.2011.05.013.

HE Q H, ZHOU C L, LI Y B, et al . Clinical features and treatment of exertional heat stroke induced by military training[J ] . J Navy Med, 2011, 32(5): 315-318. DOI:10.3969/j.issn.1009-0754.2011.05.013.

骆德强, 陈自力.劳力性热射病国内外防治现状[J].解放军医学杂志, 2017, 42(8): 737-742. DOI:10.11855/j.issn.0577-7402.2017.08.15.

LUO D Q, CHEN Z L. The current status of prevention and treatment of exertional heat stroke at home and abroad: from the scene to the hospital[J]. Med J Chin PLA, 2017, 42(8): 737-742. DOI:10.11855/j.issn.0577-7402.2017.08.15.

[中华人民共和国卫生部.职业性中暑诊断标准: GBZ 41-2002[S/OL ] . (2002-04-08)[2019-04-11 ] . http://www.nhc.gov.cn/cmsresources/zwgkzt/wsbz/zybzdbz/zyb/zyb/041.pdf http://www.nhc.gov.cn/cmsresources/zwgkzt/wsbz/zybzdbz/zyb/zyb/041.pdf .

[National Health Commission of the People's Republic of China. Diagnostic criteria for occupational heat stroke: GBZ 41-2002[S/OL ] . (2002-04-08)[2019-04-11 ] . http://www.nhc.gov.cn/cmsresources/zwgkzt/wsbz/zybzdbz/zyb/zyb/041.pdf http://www.nhc.gov.cn/cmsresources/zwgkzt/wsbz/zybzdbz/zyb/zyb/041.pdf .

黄江燕, 董力, 邹贵勉, 等.南战区军事训练中中暑因素的研究[J].华南国防医学杂志, 2014, 28(7): 697-698. DOI:10.3969/j.issn.1009-2595.2014.07.025.

HUANG J Y, DONG L, ZOU G M, et al . Study on the factors of heatstroke in military training in the Southern War Zone[J ] . Mil Med J South China, 2014, 28(7): 697-698. DOI:10.3969/j.issn.1009-2595.2014.07.025.

谷少华, 李晓海, 边国林, 等.宁波市2011-2014年中暑报告病例流行病学调查研究[J].中国预防医学杂志, 2017, 18(4): 254-257. DOI:10.16506/j.1009-6639.2017.04.004.

GU S H, LI X H, BIAN G L, et al . Epidemiological characteristics of heat stroke among reported cases in Ningbo in 2011-2014[J ] . Chin Prev Med, 2017, 18(4): 254-257. DOI:10.16506/j.1009-6639.2017.04.004.

王文玲.驻福州陆军军事训练中暑现状与影响因素研究[D].福州: 福建医科大学, 2013. [http://cdmd.cnki.com.cn/Article/CDMD-10392-1013034596.htm .

WANG W L. Study on the status and the influence factors of heatstroke in the Fuzhou army military training[D]. Fuzhou: Fujian Medical University, 2013.

李代波, 曾岚, 银涛, 等.热区某特种部队中暑现状及个体易感因素调查研究[J].第三军医大学学报, 2017, 39(4): 337-341. DOI:10.16016/j.1000-5404.201606171.

LI D B, ZENG L, YIN T, et al . Survey on status and individual susceptible factors of heat stroke in a troop of special forces stationed in thermal region[J ] . J Third Mil Med Univ, 2017, 39(4): 337-341. DOI:10.16016/j.1000-5404.201606171.

王太武, 艾乐乐, 张琪, 等.东南沿海部队官兵中暑现状及影响因素分析[J].东南国防医药, 2019, 21(1): 110-112. DOI:10.3969/j.issn.1672-271X.2019.01.028.

WANG T W, AI L L, ZHANG Q, et al . Current situation and influencing factors of heat stroke in officers and soldiers of southeastern coastal forces[J ] . Mil Med J Southeast China, 2019, 21(1):110-112.DOI:10.3969/j.issn.1672-271X.2019.01.028.

GOFORTH C W, KAZMAN J B. Exertional heat stroke in navy and marine personnel: A hot topic[J]. Crit Care Nurse, 2015, 35(1): 52-59. DOI:10.4037/ccn2015257.

郭新梅, 袁修干.坦克乘员热应激解决的试验研究[J].中国生物医学工程学报, 2010, 29(3): 422-426. DOI:10.3969/j.issn.0258-8021.2010.03.017.

GUO X M, YUAN X G. Experimental study on solving the heat stress of tank crewmen[J]. Chin J Biomed Eng, 2010, 29(3): 422-426. DOI:10.3969/j.issn.0258-8021.2010.03.017.

杨昌伟, 刘善收, 李俊杰, 等. 2013-2017年某部队附属医院急诊科255例中暑患者临床分析[J].解放军医药杂志,2018, 30(4): 107-110. DOI: 10.3969/j.issn.2095-140X.2018.04.028.

YANG C W, LIU S S, LI J J, et al . Clinical analysis of 255 heatstroke patients in emergency department of one military affiliated hospital from 2013 to 2017[J ] . Med Pharm J Chin PLA, 2018, 30(4): 107-110. DOI: 10.3969/j.issn.2095-140X.2018.04.028.

于晓华, 郭建斌, 卜爱文.夏季5 km武装越野训练预防中暑的几个关键环节[J].东南国防医药, 2014, 16(1): 102-104. DOI:10.3969/j.issn.1672-271X.2014.01.037.

YU X H, GUO J B, BU A W. Several key links of preventing heatstroke in 5 km armed cross-country training in summer[J]. Mil Med J Southeast China, 2014, 16(1):102-104.DOI:10.3969/j.issn.1672-271X.2014.01.037.

金保, 于伟亚, 吕宏迪, 等. 5 km越野训练男性重症中暑者身体功能素质指标的观察[J].人民军医, 2018, 61(9): 769-771, 801.

JIN B, YU W Y, LYU H D, et al . Observation on physical functional quality indicators of male severe heat stroke in 5 km off-road training[J ] . People Mil Surg, 2018, 61(9): 769-771 , 801.

LIPMAN G S, EIFLING K P, ELLIS M A, et al . Wilderness medical society practice guidelines for the prevention and treatment of heat-related illness[J ] . Wild Environ Med, 2013, 24(4): 351-361. DOI:10.1016/j.wem.2013.07.004.

GIFFORD R M, TODISCO T, STACEY M, et al . Risk of heat illness in men and women: A systematic review and meta-analysis[J ] . Environ Res, 2019, 171: 24-35. DOI:10.1016/j.envres.2018.10.020.

曾泽, 谭超, 陈郁, 等.地理环境差异对抵渝训练某部中暑发病率影响因素的初步研究[J].第三军医大学学报, 2019, 41(8): 741-746. DOI: 10.16016/j.1000-5404.201812010.

ZENG Z, TAN C, CHEN Y, et al . Impact of geographical environment differences on incidence of heat stroke in training troops[J ] . J Third Mil Med Univ, 2019, 41(8): 741-746. DOI: 10.16016/j.1000-5404.201812010.

仙登沁, 任晓兰, 刘攀丽.影响高原援建军官睡眠质量有关因素的调查分析[J].武警医学, 2017, 28(11): 1118-1120. DOI:10.14010/j.cnki.wjyx.2017.11.010.

XIAN D Q, REN X L, LIU P L. Factors that affect sleep quality of military officers temporarily on the plateau[J]. Med J Chin People Armed Police Force, 2017, 28(11): 1118-1120. DOI:10.14010/j.cnki.wjyx.2017.11.010.

李海玲, 王洪萍, 林慧艳, 等.黄海地区官兵中暑及热射病知识认知与应急处置调查[J].解放军医院管理杂志, 2016, 23(7):637-639, 681.DOI:10.16770/J.cnki.1008-9985.2016.07.013.

LI H L, WANGH P, LIN H Y, et al . Awareness and on-site emergency disposals of sunstroke and heat stroke in the yellow Sea militaries[J ] . Hosp Admin J Chin PLA, 2016, 23(7):637-639, 681.DOI:10.16770/J.cnki.1008-9985.2016.07.013.

罗桃姣, 曾尟枚, 戴晓婧.某高温高湿地区国际军事比赛中暑患者的现场防治[J].华南国防医学杂志, 2018, 32(12): 876-878. DOI:10.13730/j.issn.1009-2595.2018.12.016.

LUO T J, ZENG X M, DAI X J. Prevention and treatment of heatstroke patients in international military competition in a high temperature and humidity area[J]. Mil Med J South China, 2018, 32(12):876-878.DOI:10.13730/j.issn.1009-2595.2018.12.016.

宁波, 宋青, 陈自力, 等.湿热气候军事训练预防中暑保障体会[J].空军医学杂志, 2018, 34(1): 16-18. DOI:10.3969/j.issn.2095-3402.2018.01.005.

NING B, SONG Q, CHEN Z L, et al . Experience from heatstroke prevention during summer military training[J ] . Med J Air Force, 2018, 34(1): 16-18. DOI:10.3969/j.issn.2095-3402.2018.01.005.

ROBERTS W O. Exertional heat stroke and the evolution of field care: A physician's perspective[J]. Temperature (Austin), 2017, 4(2): 101-103. DOI:10.1080/23328940.2017.1316352.

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