驻映秀部分抗震救灾部队的伤病分析及防治对策
|
摘要
目的:调查"5.12"汶川特大地震中驻映秀镇部分抗震救灾部队的创伤及疾病的发生情况,分析其原因并提出相应的防治对策。方法:以映秀镇1 123名抗震救灾部队人员为调查对象,回顾官兵进入灾区2个月时的受伤及发病情况,以百分率表示各种创伤率及发病率。结果:创伤率为:小腿肿胀100.00%,足底磨疱100.00%,足腿挫伤96.08%,擦烂(磨裆)95.81%,日晒伤72.04%,手部划伤13.00%,足底扎伤12.02%,骨折0.45%,蜂螫伤1.07%,犬咬伤0.98%,蛇咬伤0.27%。发病率为:上呼吸道感染96.97%,便秘(救灾1周内)87.00%,虫咬性皮炎81.92%,阴囊湿疹25.02%,急性湿疹15.94%,消化性溃疡病症13.00%,急性腹泻8.01%,高血压(干部)5.36%,尿路结石0.62%,急性胆囊炎0.53%,急性阑尾炎0.27%,猝死0.09%,创伤后应急障碍2.49%。结论:由于汶川映秀镇地貌及地震损坏的特殊性,以及救灾部队进入灾区及救援工作的特殊性,决定了上述各种创伤率及发病率,本文总结的经验对以后部队的抗震救灾医疗保障工作具有指导意义。
Objective:To investigate the incidence and the major risk factors of traumas and diseases in part of the soldiers of the earthquake-rescue troops in Yingxiu town,and to propose corresponding preventional strategies.Methods: One thousand and one hundred and twenty-three soldiers in Yingxiu town were regarded as subjects in this research.The incidence of traumas and diseases within two months were retrospectively studied after Wenchuan Earthquake.The results were presented in percent.Results: The incidence of traumas was as follows: leg swelling: 100%,friction blisters to sole of foot: 100%,leg and foot contusion: 96.08%,intertrigo buttocks: 95.81%,sunburn: 72.04%,incised wounds to hand: 13.00%,punctured wounds to sole of foot: 12.02%,fracture: 0.45%,bee sting: 1.07%,dog bite: 0.98%,snakebite: 0.27%.The incidence of diseases was as follows: acute upper respiratory tract infection: 96.97%,constipation: 87.00%,insect bite dermatitis: 81.92%,acute eczema of scrotums: 25.02%,acute eczema: 15.94%,symptom of peptic ulcer: 13%,acute diarrhea: 8.01%,hypertension(officer): 5.36%,urolithiasis:(0.62%),acute cholecystitis: 0.53%,acute appendicitis: 0.27%,sudden death: 0.09%,posttraumatic stress disorder: 2.49%.Conclusion: The particularities of the terrain feature of Yinxiu town,the damages of the earthquake and the difficulties in the rescue task of the soildiers led to the above traumas and diseases.The experiences concluded from this thesis will help to guide the operation of medical security tasks in the later disaster.
Objective:To investigate the incidence and the major risk factors of traumas and diseases in part of the soldiers of the earthquake-rescue troops in Yingxiu town,and to propose corresponding preventional strategies.Methods: One thousand and one hundred and twenty-three soldiers in Yingxiu town were regarded as subjects in this research.The incidence of traumas and diseases within two months were retrospectively studied after Wenchuan Earthquake.The results were presented in percent.Results: The incidence of traumas was as follows: leg swelling: 100%,friction blisters to sole of foot: 100%,leg and foot contusion: 96.08%,intertrigo buttocks: 95.81%,sunburn: 72.04%,incised wounds to hand: 13.00%,punctured wounds to sole of foot: 12.02%,fracture: 0.45%,bee sting: 1.07%,dog bite: 0.98%,snakebite: 0.27%.The incidence of diseases was as follows: acute upper respiratory tract infection: 96.97%,constipation: 87.00%,insect bite dermatitis: 81.92%,acute eczema of scrotums: 25.02%,acute eczema: 15.94%,symptom of peptic ulcer: 13%,acute diarrhea: 8.01%,hypertension(officer): 5.36%,urolithiasis:(0.62%),acute cholecystitis: 0.53%,acute appendicitis: 0.27%,sudden death: 0.09%,posttraumatic stress disorder: 2.49%.Conclusion: The particularities of the terrain feature of Yinxiu town,the damages of the earthquake and the difficulties in the rescue task of the soildiers led to the above traumas and diseases.The experiences concluded from this thesis will help to guide the operation of medical security tasks in the later disaster.
引文
[1]李梦东,王宇明.实用传染病学[M].北京:人民卫生出版社,2004:852-860.
[2]陈新谦,金有豫.新编药物学[M].北京:人民卫生出版社,1992:540.
[3]凌惠扬,刘廷杰.外科学及野战外科学[M].重庆:第三军医大学出版社,1980:163.
[4]李梦东,王宇明.实用传染病学[M].北京:人民卫生出版社,2004:578-586.
[5]凌惠扬,刘廷杰.外科学及野战外科学[M].重庆:第三军医大学出版社,1980:160-162.
[6]杨国亮,王侠生.现代皮肤病学[M].上海:上海医科大学出版社,1996:330.
[7]冉玉平.常见皮肤性病诊断与治疗[M].北京:人民卫生出版社,2003:213-219.
[8]姜丽萍,王玉玲.不同人群在灾害事件中的心理行为反应及干预的探讨[J].中国卫生事业管理,2007,10(9):691-693.
[9]Kessler RC,Sonnega A,Bromet E,et al.Posttraumatic stressdisorder in the National Comorbidity Survey[J].Arch Gen Psy-chiatry,1995,52(29):1048-1060.
[10]张本,王学义,孙贺祥,等.唐山大地震所致截瘫患者远期心身健康状况调查研究[J].中国心理卫生杂志,2002,16(1):23-25.
[11]赵丞智,汪向东,高岚,等.张北尚义地震创伤后应急障碍研究[J].中国心理卫生杂志,2000,14(5):361-363.
[12]常文军,张迁,朱诗应,等.汶川地震一个月后救援部队官兵心理健康状况调查[J].第二军医大学学报,2008,33(7):725-728.
[2]陈新谦,金有豫.新编药物学[M].北京:人民卫生出版社,1992:540.
[3]凌惠扬,刘廷杰.外科学及野战外科学[M].重庆:第三军医大学出版社,1980:163.
[4]李梦东,王宇明.实用传染病学[M].北京:人民卫生出版社,2004:578-586.
[5]凌惠扬,刘廷杰.外科学及野战外科学[M].重庆:第三军医大学出版社,1980:160-162.
[6]杨国亮,王侠生.现代皮肤病学[M].上海:上海医科大学出版社,1996:330.
[7]冉玉平.常见皮肤性病诊断与治疗[M].北京:人民卫生出版社,2003:213-219.
[8]姜丽萍,王玉玲.不同人群在灾害事件中的心理行为反应及干预的探讨[J].中国卫生事业管理,2007,10(9):691-693.
[9]Kessler RC,Sonnega A,Bromet E,et al.Posttraumatic stressdisorder in the National Comorbidity Survey[J].Arch Gen Psy-chiatry,1995,52(29):1048-1060.
[10]张本,王学义,孙贺祥,等.唐山大地震所致截瘫患者远期心身健康状况调查研究[J].中国心理卫生杂志,2002,16(1):23-25.
[11]赵丞智,汪向东,高岚,等.张北尚义地震创伤后应急障碍研究[J].中国心理卫生杂志,2000,14(5):361-363.
[12]常文军,张迁,朱诗应,等.汶川地震一个月后救援部队官兵心理健康状况调查[J].第二军医大学学报,2008,33(7):725-728.
版权所有：© 2023 中国地质图书馆 中国地质调查局地学文献中心