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| 海军战略转型期特勤人员两周患病情况调查分析 |
| 姬悠然1,2△,崔宏冰3△,顾仁萍4,刘夏阳1,陈国良1* |
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(1. 第二军医大学海军医学系海军卫勤与装备教研室, 上海 200433;
2. 解放军401医院医务处, 青岛 266071;
3. 山东大学齐鲁医院(青岛)急诊科, 青岛 266035;
4. 第二军医大学卫生勤务学系卫生事业管理教研室, 上海 200433
△共同第一作者
*通信作者) |
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| 摘要: |
| 目的 调查分析海军战略转型期特勤人员的健康状况，分析其两周患病情况及变化趋势，有针对性地做好医疗卫生保障工作。方法 抽取海军某部共761名特勤人员为研究对象，采用现场问卷调查的方式调查两周患病情况，以2004年海军特勤调查数据作为对照组进行比较分析。结果 不同时期海军特勤人员两周患病率及疾病构成差异均有统计学意义（P均<0.01），本次调查海军特勤人员两周患病率为41.13%（313/761），高于2004年海军部队卫生服务调查中特勤人员的32.26%（349/1 082）；骨骼肌肉系统疾病、神经系统疾病两周患病率均高于2004年，皮肤结缔组织疾病两周患病率低于2004年（P均<0.01）。不同类别的海军特勤人员两周患病率及疾病构成差异均有统计学意义（P均<0.01），潜水员两周患病率最高（64.21%，61/95），其次是潜艇艇员（41.12%，213/518），飞行员（26.35%，39/148）最低。潜水员骨骼肌肉系统疾病、神经系统疾病、眼耳鼻喉口腔疾病的两周患病率较高。结论 海军战略转型期，特勤人员两周患病率升高；常见病、多发病的发病率降低，职业相关疾病的发病率升高；潜水员两周患病率高且疾病谱体现出明显的职业相关性。 |
| 关键词: 海军 战略转型 特勤人员 两周患病率 |
| DOI：10.16781/j.0258-879x.2017.11.1454 |
| 投稿时间：2017-07-17修订日期：2017-09-22 |
| 基金项目:总后卫生部卫勤理论研究课题（HWQZ14）. |
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| Investigation and analysis of two-week prevalence of special service personnel in naval strategic transformation period |
| JI You-ran1,2△,CUI Hong-bing3△,GU Ren-ping4,LIU Xia-yang1,CHEN Guo-liang1* |
(1. Department of Naval Health Service and Medical Equipment, Faculty of Naval Medicine, Second Military Medical University, Shanghai 200433, China;
2. Department of Medical Affairs, No. 401 Hospital of PLA, Qingdao 266071, Shandong, China;
3. Department of Emergency, Qilu Hospital of Shandong University(Qingdao), Qingdao 266035, Shandong, China;
4. Department of Health Administration, Faculty of Health Service, Second Military Medical University, Shanghai 200433, China
△Co-first authors.
* Corresponding author) |
| Abstract: |
| Objective To investigate and analyze the health status of special service personnel in the naval strategic transformation period, and to analyze their two-week prevalence and the changing trends, so as to provide pertinent medical and health care. Methods A total of 761 navy special service personnel were selected for this study. The two-week prevalence rate and the severity of diseases were investigated by on-site questionnaire survey, with the data of naval special service personnel investigation as in 2004 used control. Results There were significant differences in the two-week prevalence rate and disease composition of naval special service personnel in different periods and different categories. The two-week prevalence rate of naval special service personnel in our study was significantly higher than that in 2004 naval special service personnel investigation (41.13%[313/761] vs 32.26%[349/1 082], P<0.01). The two-week prevalence rates of skeletal muscle system diseases and neurological diseases were significantly higher those that in 2004 (P<0.01), and the two-week prevalence rate of connective tissue disease in skin was lower than that in 2004 (P<0.01). Divers had the highest two-week prevalence (64.21%, 61/95), followed by submarine crew (41.12%, 213/518), and the lowest was the pilot (26.35%, 39/148). The two-week prevalence rates of skeletal muscle system diseases, nervous system diseases and ears, nose, ihroat and oral diseases of divers were higher. Conclusion The two-week prevalence rate of naval special service personnel is increased during the naval strategic transformation period. The morbidity of common and frequent diseases is decreased, while the morbidity of occupational-related diseases is increased. Divers have a high two-week prevalence rate, with a significant occupational relevance. |
| Key words: navy strategic transformation special service personnel two-week prevalence rate |
