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1.400038 重庆,陆军军医大学(第三军医大学)军事预防医学系防化医学教研室
2.831200 新疆 昌吉,陆军军医大学(第三军医大学)边防卫勤训练大队
3.400042 重庆,陆军特色医学中心医疗保障中心
[马珂,E-mail:ywqmk@163.comMA Ke, E-mail: ywqmk@163.com
收稿:2022-12-08,
修回:2023-03-30,
纸质出版:2023-07-15
移动端阅览
王晓刚, 万凌辉, 王晓, 等. 西部战区卫生战士健康状况调查分析[J]. 陆军军医大学学报, 2023,45(13):1476-1482.
Xiaogang WANG, Linghui WAN, Xiao WANG, et al. Survey and analysis on health status in medical soldiers in Western Theater Command[J]. Journal of Army Medical University, 2023, 45(13): 1476-1482.
王晓刚, 万凌辉, 王晓, 等. 西部战区卫生战士健康状况调查分析[J]. 陆军军医大学学报, 2023,45(13):1476-1482. DOI: 10.16016/j.2097-0927.202212068.
Xiaogang WANG, Linghui WAN, Xiao WANG, et al. Survey and analysis on health status in medical soldiers in Western Theater Command[J]. Journal of Army Medical University, 2023, 45(13): 1476-1482. DOI: 10.16016/j.2097-0927.202212068.
目的
2
调查分析西部战区卫生战士的健康状况及其影响因素。
方法
2
2020-2021年期间,以驻地在西部战区的卫生战士为研究对象,根据《国际疾病分类》第十版制定健康调查问卷,收集志愿者的基本信息、生活方式、疾病症状等。
结果
2
纳入了716名合格志愿者。8个系统症状发生率分布在10.8%~42.6%之间,由高到低依次为神经系统、肌肉骨骼系统、呼吸系统、血液系统、泌尿系统、消化系统、内分泌系统、循环系统。吸烟组呼吸系统症状发生率显著高于不吸烟组(31.6%
vs
24.0%,
P
=0.025)。驻地海拔≥3 000 m组的呼吸系统(34.4%
vs
25.9%,
P
=0.028)、内分泌系统(23.3%
vs
15.3%,
P
=0.014)、神经系统(49.4%
vs
40.3%,
P
=0.032)症状发生率均显著高于驻地海拔
<
3 000 m组。在驻地海拔≥3 000 m的志愿者中,军龄≥6年组的循环系统(28.6%
vs
11.0%)、内分泌系统(42.9%
vs
21.0%)、神经系统(67.9%
vs
42.0%)、泌尿系统(53.6%
vs
24.0%)症状发生率显著高于军龄≤2年组(
P
<
0.05)。
结论
2
西部战区卫生战士神经系统和肌肉骨骼系统疾病症状发生率高,高原条件下长期服役可能对健康的损害作用更大。
Objective
2
To investigate and analyze the health status and its influencing factors in medical soldiers in Western Theater Command.
Methods
2
During 2020 and 2021
medical soldiers who stationed in Western Theater Command were recruited as study objects. Based on the International Classification of Disease (ICD-10)
a questionnaire on health status was developed. Basic information
lifestyle and signs and symptoms were collected from these participants.
Results
2
A total of 716 volunteers were eligible for this study. The incidences of symptoms ranged from 10.8% to 42.6%
with an order from high to low was: nervous system
musculoskeletal system
respiratory system
blood system
urinary system
digestive system
endocrine system and circulatory system. The symptom incidence of respiratory system was significantly higher in the smokers than the non-smokers (31.6%
vs
24.0%
P
=0.025). The symptom incidences of respiratory system (34.4%
vs
25.9%
P
=0.028)
endocrine system (34.4%
vs
25.9%
P
=0.028)
and nervous system (34.4%
vs
25.9%
P
=0.028) were obviously higher in the altitude ≥3 000 m group than the
<
3 000 m group. Among the volunteers located ≥3 000 m
the symptom incidences of circulatory system (28.6%
vs
11.0%)
endocrine system (42.9%
vs
21.0%)
nervous system (67.9%
vs
42.0%) and urinary system (53.6%
vs
24.0%) were notably higher in those with length of military service ≥6 years than those ≤2 years (
P
<
0.05).
Conclusion
2
The symptom incidences of nervous system and musculoskeletal system are quite high in the participants. Long-term service in high altitude conditions may be more harmful to health.
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