摘要
目的分析武警新兵集训期间伤病发生的时间、兵源地域和城乡分布特点,为预防和减少各种伤病的发生提供依据。方法采用分层随机整群抽样方法,按照国际ICD-10标准进行疾病分类。采用Epiinfo6.0录入数据,SPSS11.0进行数据分析。结果新兵集训期间,呼吸系统疾病占所有系统疾病的54.06%。就伤病总的时间趋势而言,开训前2周呈上升趋势,以后逐渐下降,第2周、第6周和第10周出现3个高峰,昼夜发病率分别达到12.66‰、8.45‰和7.00‰。上呼吸道感染在第2周和第10周出现2个发病高峰,分别为6.54‰和3.94‰。胃肠炎的昼夜发病率第8周(1.14‰)和第11周(0.83‰)较高。踝关节扭伤的发病率第2周和第6周较高,分别为0.70‰和1.14‰。来自于华东、华北、华中和东北4个地区的新兵发病率有显著差异(χ2=71.217,P<0.05)。4个地区间上呼吸道感染发病率不同(χ2=25.771,P<0.05),而胃肠炎和踝关节扭伤无显著性差异(P>0.05)。城乡新兵总发病率无显著性差异(χ2=0.021,P=0.884)。农村兵踝关节扭伤的发病率显著高于城镇兵(χ2=7.29,P=0.007)。上呼吸道感染和胃肠炎发病率在城乡新兵间无显著性差异。结论预防呼吸系统疾病对集训卫生防病工作意义重大;防病工作在不同训练期间应有所侧重;卫生防病预案的制定需要遵循疾病自身发病特点。
Objective To analyze the invaliding events occurred during training period in CAPF recruits in order to find the way to reduce the incidence of injuries and diseases. Methods Stratified random clustered sampling method was used to select the subjects, and diseases were classified and named according to ICD-10. Data were input using EpiInfo6. 0 and analyzed by SPSS11.0. Results During the initial period of training, the disease of respiration system accounted for 54. 06% of the total 11 disease systems. It showed a tendency to occur most frequently during the first two weeks, and then the incidence declined with three peaks of morbidity rate at the 2nd （12. 66‰）, 6th （8. 45‰） and 10th week （7.00‰）. The incidence of upper respiratory（6. 54‰） and 10th week （3. 94‰）. The diurnal incidence of gastroenteritis showed two peaks at the 2nd week （1.14‰） and the 11th week （0. 83‰）. The high inddenee of ankle sprain appeared at the 2nd （0. 70‰） and 6th week （1. 14‰）. The incidence of invaliding events was significantly different among the recruits drafted from different areas-- North China, Middle China, East China and Northeast China （χ^2 =71. 217, P〈0. 05）. The incidence of upper respiration infection was also significantly different among the recruits drafted from different areas （χ^2 =25. 771, P〈0. 05）. However, no significant difference was found in the incidence of gastroenteritis and ankle sprain （P〉0. 05）. Also, no significant difference existed in the total incidence between the recruits from urban and rural origin. The incidence of ankle sprain was higher in the recruits of rural origin than in the recruits of urban origin （χ^2=7. 29, P=0. 007）, but no significant difference was found on the incidence of upper respiratory infection and gastroenteritis in the recruits of urban and rural origin （ P〉0. 05）. Conclusions It is of great importance to control the respiration system disease in recruits during training period. Particular emphasis should be laid on prevention during different period, and the preventive measures should conform to the characteristics of invaliding events occurred in the recruits.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2009年第7期905-907,共3页
Medical Journal of Chinese People's Liberation Army
基金
武警医学院院级重大项目(WJZ2007-4)
关键词
军事人员
军队卫生
流行病学研究
military personnel
military hygiene
epidemiologic studies
