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抗震救灾部队官兵皮肤病发病率及其影响因素分析
张迁1△,常文军2△,朱诗应3,阮芳铭4,曹广文2*
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(1.第二军医大学长海医院感染科,上海 200433; 2.第二军医大学卫生勤务学系流行病学教研室,上海 200433;3.第二军医大学基础部微生物学教研室,上海 200433;4.第二军医大学海军医学系军队卫生教研室,上海 200433)
摘要:
目的:调查汶川映秀镇抗震救灾部队官兵皮肤病的发病情况,分析其影响因素,并对营区内杀虫措施效果进行评价。方法:2008年6月15日至6月20日,以映秀镇的两支抗震救灾部队为研究对象,回顾性调查部队官兵在震后1个月内的皮肤病发病情况、帐篷卫生条件和杀虫措施实施情况等内容,采用χ2检验确定差异显著性。结果:映秀镇抗震救灾部队官兵在震后1个月的皮肤病发病率为42.20%,其中虫咬性皮炎和毛囊炎的构成比分别为82.05% 和15.38%;震后1、2、4周的皮肤病发病率水平明显高于震前水平(P<0.05),震后4周发病率的升高与在山上过夜相关;采用2.5%溴氰菊酯等杀虫剂对帐篷内外环境进行杀虫,皮肤病发病率由震后2周的26.61%降低至震后3周的0.92%(P<0.05)。结论:抗震救灾部队官兵在震后皮肤病的发病率明显升高,震后恶劣的卫生环境、蚊虫叮咬是官兵皮肤病的主要因素,定期杀虫能有效降低皮肤病的发病率。
关键词:  地震;皮肤疾病  发病率;虫咬和虫螫
DOI:10.3724/SP.J.1008.2008.00741
投稿时间:2008-06-27修订日期:2008-07-13
基金项目:
Incidence of skin diseases in soldiers of the earthquake-rescue troops and its influencing factors
ZHANG Qian1△, CHANG Wen-jun2△, ZHU Shi-ying3, RUAN Fang-ming4, CAO Guang-wen2*
(1.Department of Infectious Diseases, Changhai Hospital, Second Military Medical University, Shanghai 200433, China;2.Department of Epidemiology, Faculty of Health Service, Second Military Medical University, Shanghai 200433;3.Department of Microbiology, College of Basic Medical Sciences, Second Military Medical University, Shanghai 200433;4.Department of Military Hygiene, Faculty of Navy Medicine, Second Military Medical University, Shanghai 200433)
Abstract:
Objective:To investigate the incidence and major risk factors of skin diseases in soldiers of the earthquake-rescue troops in Yingxiu Town, and to evaluate the disinsection outcome in the camps.Methods: Two rescue teams were taken as subjects in this study.The incidence of skin diseases, hygiene status in the tents, and disinsection measures within 1 month after Wenchuan Earthquake were retrospectively studied from June 15 to June 20, 2008.Chi-square test was used to determine significance of difference.Results: The incidence of skin diseases was 42.20% in the rescue troops during the 1st month after the earthquake,with insect bite dermatitis and hair follicle dermatitis accounting for 82.05% and 15.38%, respectively.The incidences of skin diseases during the 1st, 2nd, and 4th week after the earthquake were significantly higher than that before the earthquake (P<0.05); the high incidence during the 4th week was associated with sleeping in the mountainous areas.Disinsection of the tents with 2.0% deltamethrin decreased the incidence of skin disease from 26.61% during the 2nd week to 0.92% during the 3rd week.Conclusion: The incidence of skin disease is obviously increased in the earthquake rescue troops; the major reasons are the poor hygiene condition and bites by the mosquitoes and insects.Regular disinsection can effectively decrease the incidence of skin diseases.
Key words:  earthquakes  skin diseases  incidence  insect bites and stings