1080名官兵中菌痢发病情况与相关因素分析

发布时间：2019-03-15 16:28

【摘要】：目的 :为了解部队官兵菌痢致病原因与生活、训练的相关关系 ,以便作出针对性的宣传教育和防治。方法 :根据国家卫生部 1990年菌痢诊断标准 ,采用现场问卷调查和个案调查相结合。结果 :全部调查人数 10 80人 ,菌痢发病人数 72人 ,未发病人数 10 0 8人 ,菌痢的平均发病率为 6 .6 7%。驻海岛部队、沿海部队、内陆部队的发病率分别为 7.91%、6 .0 7%、5 .5 0 % ,没有明显的地区性差异 (P 0 .0 5 ) ,但与个人体质、卫生习惯密切相关 (P 0 .0 1)。饭前不洗手的发病率是洗手者的 2 3倍 ;不良饮食习惯官兵的发病率是良好者的 8倍 ;饭前不洗碗的发病率是洗碗的 10倍 ;训练强度不当的发病率是适度训练的 30倍 ,其AR为 4 5 .6 ,有明显的关联。结论 :教育官兵养成良好的个人卫生习惯 ,调整好劳动训练强度 ,是预防菌痢发病的主要措施
[Abstract]:Objective: to understand the relationship between the causative causes of bacterial dysentery and their daily life and training, so as to make specific propaganda, education and prevention and treatment of bacillary dysentery. Methods: according to the diagnostic criteria of bacillary dysentery of the Ministry of Health of China in 1990, the field questionnaire and case investigation were used. Results: 1 080 cases were investigated, 72 cases were infected with bacillary dysentery and 1008 cases were not. The average incidence of bacillary dysentery was 6.67%. The incidence rates of island troops, coastal units and inland troops were 7.91%, 6.07% and 5.50%, respectively. There was no significant regional difference (P 0.05), but there was no significant difference with individual physique. Hygienic habits were closely related (P 0.01). The incidence of not washing hands before meals was 23 times higher than that of those who washed hands, the incidence of bad eating habits was 8 times higher than that of good ones, the incidence of not washing dishes before meals was 10 times as high as that of washing dishes. The incidence of improper training intensity was 30 times higher than that of moderate training, and its AR was 45.6, which had obvious correlation. Conclusion: the main measures to prevent bacterial dysentery are to educate officers and soldiers to form good personal hygiene habits and adjust the intensity of labor training.
【作者单位】：广州军区联勤部卫生防疫队广州军区联勤部卫生防疫队解放军第三七0医院
【分类号】：R82

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