某部386名战士核黄素缺乏症的流行病学调查

发布时间：2019-06-29 18:10

【摘要】：目的 :调查某部战士集体发生阴囊炎、口角炎、唇炎、舌炎的患病情况 ,为制定防治措施提供依据。方法 :采用体检、真菌镜检、尿中核黄素含量测定等方法对 386名战士进行核黄素缺乏症流行病学调查。结果 :16 5人患有阴囊炎、口角炎、唇炎、舌炎 ,总患病率为 4 2 .7%。其中修理队战士患病率为 6 7.2 %、学员队为 4 0 .7%、汽训队为 2 5 .1%,三者之间差异非常显著(P 0 .0 1) ;来自驻京部队战士患病率 (2 8.8%)低于其他地区战士 (6 7.6 %) ,两者之间也有非常显著差异 (P 0 .0 1) ;结痂型阴囊炎在 148例阴囊炎患者中占 5 6 .5 %;唇炎以下唇粘膜内侧溃疡为主要表现。真菌镜检和培养均为阴性 ;尿中核黄素水平平均为 (4 5 .5± 32 .1) μg·L- 1,显著低于正常水平。结论 :某部战士发生的阴囊炎、口角炎、唇炎、舌炎可以确定是一起核黄素缺乏症的暴发流行。除饮食因素外 ,劳动强度大、环境改变等可能也是此次核黄素缺乏症的致病因素。
[Abstract]:Objective: to investigate the prevalence of scrolitis, stomatitis, lip and tongue inflammation in a certain soldier, and to provide evidence for the prevention and treatment of scrolitis, stomatitis, lip inflammation and tongue inflammation. Methods: the epidemiological investigation of riboflavin deficiency in 386 soldiers was carried out by means of physical examination, fungal microscopic examination and determination of riboflavin content in urine. Results: 165 patients suffered from scrotulitis, oral keratitis, lip inflammation and tongue inflammation. The total prevalence rate was 42.7%. The prevalence rate of soldiers in repair team, student team and automobile training team was 67.2%, 40.7% and 25.1%, respectively (P 0.01), and the prevalence rate of soldiers from Beijing (28.8%) was lower than that of soldiers from other areas (67.6%), and there was also significant difference between the two groups (P 0.01), and the prevalence rate of soldiers from Beijing was significantly lower than that of soldiers from other areas (67.6%), and there was also significant difference between the three groups (P 0.01). Scab scrolitis accounted for 56.5% in 148 patients with scrotulitis, and medial ulcer of lip mucosa below lip inflammation was the main manifestation. Microscopic examination and culture of fungi were negative, and the average level of riboflavin in urine was (45.5 卤32.1) 渭 g 路L ~ (- 1), which was significantly lower than that of normal level. Conclusion: scrolitis, stomatitis, lip inflammation and tongue inflammation in a certain soldier can be confirmed to be an outbreak of riboflavin deficiency. In addition to dietary factors, high labor intensity, environmental changes and so on may also be the pathogenic factors of riboflavin deficiency.
【作者单位】：解放军第三0六医院皮肤科解放军第三0六医院皮肤科解放军第三0六医院科训科 63996部队后勤部教导大队卫生队 63996部队后勤部教导大队卫生队
【分类号】：R82

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