论文部分内容阅读
目的:调查了解驻北方高原寒区某部官兵冻伤情况。方法:选择2009年1月—2012年1月驻高原寒区某部官兵1024例,发放冻伤调查问卷表,了解是否发生过冻伤、冻伤发生时间、冻伤部位、致伤原因、冻伤面积及深度、早期处理及预后情况。结果:共回收有效问卷1016份。1016例中,共发生冻伤95例,发生率9.35%。新兵冻伤发生率15.03%,显著高于老兵的7.12%(P<0.05);南方籍士兵冻伤发生率16.92%,显著高于北方籍士兵的5.79%(P<0.05)。冻伤集中发生于每年11月至次年2月,冻伤面积(3.1±3.5)%TBSA;致伤原因以野外驻训和潜伏为主,分别占34.74%、30.53%;冻伤部位以四肢末端为主共78例,占82.11%。结论:每年12月至次年2月为北方高原寒区冻伤的高发季节,冻伤人群以新兵、南方籍士兵为主,冻伤程度以四肢末端中小面积中度冻伤为主。采取有效防护措施,积极进行快速复温,可有效降低冻伤发病率,缩短冻伤愈合时间,提高冻伤伤员救治成功率。
Objective: To investigate the situation of frostbite on the part of officers and soldiers stationed in the cold area of northern plateau. Methods: A total of 1024 cases of frostbite were collected from January 2009 to January 2012 in a cold area in the plateau to find out whether frostbite, frostbite occurred, the location of frostbite, the cause of injury, the area and depth of frostbite, Early treatment and prognosis. Results: A total of 1016 valid questionnaires were collected. In 1016 cases, a total of 95 cases of frostbite occurred, the incidence of 9.35%. Frostbite incidence of recruits was 15.03%, significantly higher than that of veterans (7.12%, P <0.05). South frostbite rate was 16.92%, significantly higher than that of northern soldiers (5.79%, P <0.05). Frostbite concentrated in every November to February next year, the area of frostbite (3.1 ± 3.5)% TBSA; the cause of injury to the field training and latent mainly 34.74%, 30.53%; frostbite in the main extremities A total of 78 cases, accounting for 82.11%. CONCLUSION: Frostbite is the most frequent season in the northern plateau from December to February. Frostbite patients are mainly recruits and soldiers of the South. Frostbite is dominated by mid-small area moderate frostbite. Take effective protective measures, and actively carry out rapid rewarming, which can effectively reduce the incidence of frostbite, shorten the healing time of frostbite, and improve the success rate of treatment of frostbite injuries.