地理环境差异对抵渝训练人员中暑发病率影响因素的初步研究

曾泽; 谭超; 陈郁; 陈兴书; 唐才智; 刘鑫源; 王瑞; 郑然; 马炬; 罗勇军

doi:10.16016/j.1000-5404.201812010

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地理环境差异对抵渝训练人员中暑发病率影响因素的初步研究

军事医学 | 更新时间：2026-03-02

- 地理环境差异对抵渝训练人员中暑发病率影响因素的初步研究
- Impact of geographical environment differences on incidence of heat stroke in training troops in Chongqing
- 第三军医大学学报 2019年41卷第8期页码：741-746
- 作者机构：
  
  1..400038 重庆，陆军军医大学(第三军医大学)陆军卫勤训练基地：军事医学地理学教研室，全军战救训练技术与器材研发实验室Department of Military Medical Geography, Laboratory of Military Combat Rescue Training Technology and Equipment Research and Development, Army Medical University (Third Military Medical University), Chongqing, 400038, China
  2..400038 重庆，陆军军医大学(第三军医大学)陆军卫勤训练基地：模拟训练中心Simulation Training Center, Army Health Service Training Base, Army Medical University (Third Military Medical University), Chongqing, 400038, China
- 作者简介：
- 基金信息：
  
  全军后勤科研计划重点课题(BLJ18J005);国家自然科学基金面上项目(41877518)
- DOI：10.16016/j.1000-5404.201812010
  中图分类号： R122.26;R254.21;R821
- 收稿：2018-12-03，
  
  纸质出版：2019-04-30
- 稿件说明：
移动端阅览
曾泽, 谭超, 陈郁, 等. 地理环境差异对抵渝训练人员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.

Ze ZENG, Chao TAN, Yu CHEN, et al. Impact of geographical environment differences on incidence of heat stroke in training troops in Chongqing[J]. Journal of Third Military Medical University, 2019, 41(8): 741-746.
曾泽, 谭超, 陈郁, 等. 地理环境差异对抵渝训练人员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.

Ze ZENG, Chao TAN, Yu CHEN, et al. Impact of geographical environment differences on incidence of heat stroke in training troops in Chongqing[J]. Journal of Third Military Medical University, 2019, 41(8): 741-746. DOI： 10.16016/j.1000-5404.201812010.

摘要

目的

分析来自不同地域部队人员抵渝后首日的中暑影响因素。

方法

2018年8月对驻地为高原温带半干旱气候区(代号A)和温带大陆性气候区(代号B)的两部队人员来渝前、来渝中、来渝后的基本生活训练情况及中暑情况采用问卷调查法进行调查，将抵渝首日发生中暑的人员设为中暑组、未发生中暑的人员设为非中暑组，采用统计学方法分析两部队成员各自中暑发病情况及其影响因素。

结果

2018年8月重庆市平均气温为28.3℃，根据中暑诊断标准，A部队与B部队在抵渝后首日发生中暑人数分别为12人(33.3%)、16人(48.6%)。A部队中暑组与非中暑组在机动过程中日均饮水量、日均睡眠时间、日均睡眠质量方面的差异具有统计学意义(

0.05)。B部队中暑组与非中暑组在平时每周训练时间、抵渝首日饮水量方面的差异具有统计学意义(

0.05)。Logistic多因素回归发现A部队机动过程中日均饮水量增加、日均睡眠质量增加是中暑的保护因素，B部队平常每周训练时间增加是中暑的保护因素。

结论

两部队驻地地理环境间(气候、海拔)的差异导致其各自成员抵渝后首日中暑的影响因素明显不同，提示对跨区域机动部队进行疾病防治时，需考虑驻地与任务地点地理环境的差异及可能引发的环境敏感性疾病。

Abstract

Objective

To analyze the factors contributing to heat stroke in troops from different regions on the first day after arrival in Chongqing.

Methods

Using a self-designed questionnaire

we investigated the daily activities

training

and the occurrence of heat stroke in 2 troops from 2 different regions before and during the transportation and after their arrival at Chongqing. The individuals having heat stroke on the first day of arrival served as the heat stroke group

and those without heat stroke served as the control group for comparison of the data to identify the factors contributing to heat stroke in the 2 troops.

Results

Twelve (33.3%) individuals in troop A and 16 (48.6%) in troop B had heat stroke on the first day after arrival in Chongqing. In troop A

the volume of daily water intake

sleep time and sleep quality differed significantly between the individuals with heat stroke and those without during the transportation (

0.05); In troop B

the weekly training time and the volume of water intake on the first day of arrival differed significantly between the heat stroke and non-heat

stroke groups (

0.05).Logistic multivariate regression showed that an increased mean daily water intake and improved daily sleep quality during transportation in troop A and a longer weekly training time in troop B were the protective factors against heat stroke.

Conclusion

The differences in the geographical environment in terms of climate and altitude between the 2 troops resulted in significant differences in the factors affecting the occurrence of heat stroke on the first day after their arrival

suggesting the importance of addressing the geographical differences between the stationing site and the mission site in designing measures for controlling environmentally sensitive diseases for the trans-regional mobile troops.

关键词

Keywords

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