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| 东部沿海某部海训官兵皮肤病患病率调查及其影响因素分析 |
| 闫泽灏1,张正委1,伊九2,任浩3,潘炜华2,杨雅骊2,廖万清2,方伟2* |
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(1. 海军军医大学(第二军医大学)海军医学系学员3队, 上海 200433;
2. 海军军医大学(第二军医大学)长征医院皮肤科, 上海市医学真菌分子生物学重点实验室, 上海 200003;
3. 海军军医大学(第二军医大学)基础医学院微生物学教研室, 上海市医学生物防御重点实验室, 上海 200433
*通信作者) |
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| 摘要: |
| 目的 分析东部某海训部队官兵在新时期军事训练环境下皮肤病的流行病学特点和患病原因，并提出防治措施。方法 采用整群抽样、分层抽样和单纯随机抽样相结合的多阶段抽样方法，从东部沿海某部海训官兵中选择768名官兵，进行皮肤病问卷调查，随行医师对全体被调查者进行体格检查并给出诊断和治疗指导。应用logistic回归分析研究皮肤病患病的影响因素。结果 回收有效问卷696份，有效率为90.62%。被调查者年龄17～32岁，共349例（50.14%）患有皮肤病。共检出皮肤病类型34种，患病频次为755，其中感染性皮肤病占多数（患病频次565，构成比74.83%）。海训官兵皮肤病患病情况与气候、环境、训练条件、饮食习惯等有关，各类皮肤病病因不尽相同。结论 海训官兵皮肤病患病率高、影响因素多，应通过普及皮肤病防治知识、科学施训、改善防护条件、倡导合理生活习惯、提高医务人员诊治水平、更新药品配备等防治措施降低皮肤病患病率。 |
| 关键词: 军队卫生 皮肤疾病 海训 东部沿海 问卷调查 患病率 |
| DOI：10.16781/j.0258-879x.2018.06.0661 |
| 投稿时间：2018-01-30修订日期：2018-05-07 |
| 基金项目:国家自然科学基金（81501728），上海市科委专项基金（14DZ2272900），军队“十二五”重大专项课题（AWS12J002-05-02），军队创新基金（BWS14J023）. |
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| Prevalence of skin diseases among marine-training soldiers stationed in east coastal area and its influencing factors |
| YAN Ze-hao1,ZHANG Zheng-wei1,YI Jiu2,REN Hao3,PAN Wei-hua2,YANG Ya-li2,LIAO Wan-qing2,FANG Wei2* |
(1. The 3rd Students Team, Faculty of Naval Medine, Navy Medical University(Second Military Medical University), Shanghai 200433, China;
2. Department of Dermatology, Changzheng Hospital, Key Laboratory of Dermatology and Fungal Diseases of Shanghai, Navy Medical University(Second Military Medical University), Shanghai 200003, China;
3. Department of Microbiology, College of Basic Medical Sciences, Shanghai Key Laboratory of Medical Biodefense, Navy Medical University(Second Military Medical University), Shanghai 200433, China
*Corresponding author) |
| Abstract: |
| Objective To investigate the epidemiology and causes of skin diseases in marine-training soldiers stationed in east coastal areas of China under the military training environment in new period, and to propose measures for prevention and treatment. Methods Multi-stage sampling including cluster sampling, stratified sampling and simple random sampling were used to select 768 marine-training soldiers stationed in the east coastal areas of China. They were surveyed by a questionnaire and received physical examination of skin diseases before diagnosing and prescribing by attending physicians. Logistic multiple regression analysis was used to analyze the relationship between skin diseases and the possible causes of skin diseases. Results A total of 696 (90.63%) valid questionnaires were collected, and the participants ranged in age from 17-32 years old. It was found that 349 (50.14%) soldiers had skin diseases, which fell into 34 types, with a total of 755 onsets, mainly infectious skin diseases (565 onsets, 74.83%). The incidence of skin diseases among marine-training soldiers was related to climate, environment, training conditions, and eating habits, and the causes of the disease were complicated. Conclusion The incidence of skin diseases among marine-training soldiers is high and has many influencing factors. More efforts should be made for promoting knowledge of skin disease prevention, scientific military training, better living condition and habit, more careful medical service, and provision of new drugs to reduce skin diseases among the soldiers. |
| Key words: military hygiene skin diseases marine training east coastline questionnaires prevalence |
