| 摘要: |
| 目的 通过对夏季5-km武装越野考核进行防热射病跟训保障，探讨防热射病跟训保障模式。方法 对某部参加2016年夏季5-km武装越野考核且资料完整的501名官兵进行现场跟训保障，按是否负重分为负重组270人、非负重组231人，负重组负重9~12 kg。监测官兵考核前后的体温，比较两组官兵考核前后体温变化及考核后发热人数。结果 参加夏季5-km武装越野考核501人，考核后体温 > 37℃者共51人（10.18%），体温最高40.9℃。留观者共9人，其中因监测体温15 min仍 > 38℃而留观者4人，经降温输液处理50~120 min后体温降至37℃以下；因胸闷、憋气、腹痛而留观者4人，因晕倒而留观者1人，此5人经观察处置均好转，无1例后送医院。考核前负重组与非负重组体温差异无统计学意义，考核后负重组体温高于非负重组[（36.64±0.67）℃ vs （36.48±0.38）℃，P<0.05]，且负重组发热人数多于非负重组[16.67%（45/270） vs 2.60%（6/231），P<0.05]。结论 夏季5-km武装越野考核可引起体温升高，存在诱发热射病的潜在风险。建立有针对性的跟训保障模式有助于及时发现并迅速处置，可有效预防热射病的发生。 |
| 关键词: 夏季 武装越野 训练 热射病 军队卫勤保障 |
| DOI：10.16781/j.0258-879x.2017.12.1577 |
| 投稿时间：2017-05-24修订日期：2017-09-07 |
| 基金项目:济南军区后勤科研项目重点课题（CJN15J011）. |
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| Medical protection patterns in preventing heat stroke during 5-km armed field examination in summer |
| LI Hai-ling1,WANG Hong-ping1,LU Qing2,GU Xiao-feng1,ZHAO Li-li1,XIE Ru-qing3* |
(1. Department of Critical Care Medicine, No. 401 Hospital of PLA, Qingdao 266071, Shandong, China;
2. Division of Medical Affairs, No. 401 Hospital of PLA, Qingdao 266071, Shandong, China;
3. Department of Naval Hygiene, North Sea Fleet of PLA, Qingdao 266071, Shandong, China
*Corresponding author) |
| Abstract: |
| Objective To discuss the role of medical protection patterns in preventing exertional heat stroke during 5-km armed field examination in summer. Methods We analyzed the original data collected from 501 soldiers who completed the 5-km armed field examination in the summer of 2016. The soldiers received medical protection during examination and were divided into fully-equipped group (loading 9-12 kg, n=270) and non-equipped group (n=231). The temperatures of the soldiers were detected before and after examination, and the temperature changes and the number of soldiers with hyperthermia after examination were compared between the two groups. Results A total of 501 soldiers took part in the 5-km armed field examination, and 51 (10.18%) soldiers were found with fever (temperature >37℃), with a highest temperature of 40.9℃. Nine were put on a temporary stay in the field medical facility. Among them, four were observed because of the temperature maintaining at 38℃ for 15 min, and their temperatures dropped to below 37℃ after cooling fluid infusion for 50-120 min; four were observed because of chest tightness, suffocation, and abdominal pain; one was observed because of faint; the latter five cases were improved without other treatments. No case was evacuated to the hospital. There was no significant difference in temperature between the fully-equipped and non-equipped groups before the examination, while the temperature in the fully-equipped group was significantly higher than that in the non-equipped group after the examination ([36.64±0.67]℃ vs [36.48±0.38]℃, P<0.05). The number of soldiers with hyperthermia in the fully-equipped group was significantly more than that in the non-equipped group after the examination (16.67%[45/270] vs 2.60%[6/231], P<0.05). Conclusion The 5-km armed field examination in summer can elevate temperatures of the soldiers and has risk of inducing heat stroke. Establishing a targeted medical protection pattern during the examination may help to timely detect fever in the soldiers and give prompt treatment, so as to effectively prevent heat stroke. |
| Key words: summer armed field training heat stroke military medical support |
