职业与健康 ›› 2025, Vol. 41 ›› Issue (8): 1024-1028.

• 论著 • 上一篇    下一篇

不同环境野外驻训人员伤病及疲劳状况分析

孟斌, 葛强, 常留栓, 雷静, 陈立军, 高宏生   

  1. 武警后勤学院卫生勤务系军事预防医学教研室,天津 300309
  • 收稿日期:2024-07-04 修回日期:2024-08-02 出版日期:2025-04-15 发布日期:2025-12-18
  • 作者简介:孟斌,男,副教授,主要从事特殊环境作业危害研究工作。
  • 基金资助:
    全军重点课题(BWJ19J002); 武警后勤学院科研资助项目(WHJ202109)

Analysis of injury and fatigue status of field trainees in different environments

MENG Bin, GE Qiang, CHANG Liushuan, LEI Jing, CHEN Lijun, GAO Hongsheng   

  1. Military Preventive Medicine Teaching and Research Office,Department of Health Service,Logistics Univisity of PAP,Tianjin 300309,China
  • Received:2024-07-04 Revised:2024-08-02 Online:2025-04-15 Published:2025-12-18

摘要: 目的 了解不同环境下野外驻训人员疾病损伤及疲劳发生现况,为预防伤病、制定特殊环境下卫生保障策略提供依据。方法 2023年8月整群抽取湿热、干热和高原环境下3个驻训单位作业人员308、590和215人,通过问卷调查分析野外驻训人员疾病损伤、劳动强度及疲劳发生情况。结果 湿热环境下肌肉骨骼和关节和皮肤症状患者明显高于高原和干热环境下患者,干热环境下耳鼻眼及口腔症状患者却显著高于其他地区,而高原环境下消化系统症状和呼吸系统症状患者明显高于其他地区(均P<0.05)。被调查者均为极重体力劳动者,湿热、干热、高原环境下,重度疲劳分别有1(0.3%)、8(1.4%)和0(0.0%)例,有77.3%、77.1%和80.0%的野外驻训人员认为睡眠/休息对疲劳产生非常明显的缓解作用,23.1%、21.0%和19.5%的人员认为疲劳与心情、环境有非常明显关系,37.0%、33.9%和40.5%的人员认为疲劳与心情、环境有明显关系,29.5%、28.8%和28.8%的人员认为疲劳与心情、环境有比较明显的关系。结论 野外驻训环境与伤病种类及疲劳发生有着密切关系,应根据驻训环境和伤病特点,有针对性的开展卫生防病教育和制定相应的卫生保障策略。

关键词: 特殊环境, 野外驻训, 疾病, 损伤, 疲劳

Abstract: Objective To understand the current situation of the occurrence of disease,injury and fatigue in field trainees in different environments,so as to provide a basis for preventing injuries and formulating health support strategies in special environments. Methods In August 2023,a total of 308,590,and 215 trainees were selected from three training units under hot and humid,dry hot and plateau environments. A questionnaire survey was conducted to analyze the incidence of disease injuries,labor intensity,and fatigue among field trainees. Results Patients with musculoskeletal,joint and skin symptoms in humid and hot environments were significantly higher than those in plateau and dry hot environments(all P<0.05). However,patients with ear,nose,eye and oral symptoms in dry hot environments were significantly higher than those in other areas(all P<0.05).Patients with digestive and respiratory symptoms in plateau environments were significantly higher than those in other areas(all P<0.05). The investigated individuals were all extremely heavy manual laborers,there were 1(0.3%),8(1.4%) and 0(0.0%) cases of severe fatigue in hot and humid,dry hot and plateau environments,respectively. 77.3%,77.1% and 80.0% of the field trainees believed that sleep/rest had a very significant relieving effect on fatigue in hot and humid,dry hot and plateau environments,23.1%,21.0% and 19.5% of the field trainees believed that fatigue had a very obvious relationship with mood and environment,37.0%,33.9% and 40.5% of the field trainees believed that fatigue had a obvious relationship with mood and environment,29.5%,28.8% and 28.8% of the field trainees believed that fatigue had a relatively obvious relationship with mood and environment. Conclusion Types of injuries and diseases and the occurrence of fatigue are closely related to the field training environment. Targeted health and disease prevention education and corresponding health protection strategies should be developed based on the training environment and the characteristics of injuries.

Key words: Special environment, Field training, Disease, Injuring, Fatigue

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