[1]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].陆军军医大学学报(原第三军医大学学报),2019,41(08):741-746.
 ZENG Ze,TAN Chao,CHEN Yu,et al.Impact of geographical environment differences on incidence of heat stroke in training troops in Chongqing[J].J Amry Med Univ (J Third Mil Med Univ),2019,41(08):741-746.
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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(/HTML )
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陆军军医大学学报(原第三军医大学学报)[ISSN:1000-5404/CN:51-1095/R]

卷:
41卷
期数:
2019年第08期
页码:
741-746
栏目:
军事医学
出版日期:
2019-04-30

文章信息/Info

Title:
Impact of geographical environment differences on incidence of heat stroke in training troops in Chongqing
作者:
曾泽谭超陈郁陈兴书唐才智刘鑫源王瑞郑然马炬罗勇军
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,模拟训练中心
Author(s):
ZENG Ze TAN Chao CHEN Yu CHEN Xingshu TANG Caizhi LIU Xinyuan WANG Rui ZHENG Ran MA Ju LUO Yongjun

Department of Military Medical Geography,  Laboratory of Military Combat Rescue Training Technology and Equipment Research and Development, Simulation Training Center, Army Health Service Training Base, Army Medical University (Third Military Medical University), Chongqing, 400038, China

关键词:
中暑地理环境军事训练军事医学
Keywords:
heat stroke geographical environment military training military medicine
分类号:
R122.26; R254.21; R821
文献标志码:
A
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(P<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(P<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 (P<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 (P<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.


 

更新日期/Last Update: 2019-04-13