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作者于1997年5月16日至22日随赴泰国老年人旅游团进行了旅行卫生保健服务及探索旅行中危害老年人健康的主要因素及保健措施。该旅行团共25人,男性8人,女性1 7人;年龄为60—80岁,其中60—65岁16人,66—70岁4人,71—75岁3人,76—80岁2。作者首先对该团成员的继往病史进行了调查,结果为:高血压8例,冠心病8例,脑血栓2例,慢性胃炎2例,十二脂肠溃疡1例,糖尿病10例,乙型肝炎及尿毒症换肾术后恢复期各1例。作者根据老年人的生理特点、继往病史及旅行地影响健康的主要因素,开展了预防慢性病复发及疾病发生知识的宣传教育。预防慢性病复发的知识主要内容有:老年人慢性病复发的原因、发病先兆及体征、预防措施及自我救治等。预防可能发生的疾病及意外伤害的知识主要内容有:介绍旅游地疫情、卫生状况、环境、气候、饮食卫生及预防措施等。同时进行预防接种,携带旅行卫生保健药品及防止病媒昆虫叮咬的药品等。在旅行中,每天早晚巡诊,旅行时注意观察,做好保健记录。在旅行结束一个月内进行健康状况调查,并对旅行卫生保健药盒使用情况进行了统计。由于旅行前的卫生保健宣传教育,开展卫生保健及治疗,没有发生严重旅行健康问题。但是,在七天的旅行中,发生腹泻4例,感冒2例,外伤3例及慢性胃炎急性发作1例。作者认为:预防慢性病的复发是对老年人旅行者这一特殊群体旅行卫生保健的重要内容。如何预防旅行腹泻、感冒及外伤是应努力探索的重要课题。
From May 16 to 22, 1997, the author traveled to Thailand Senior Citizen’s Tour Group for travel health services and explored the major factors and health-care measures that endanger the health of the elderly in traveling. The tour includes a total of 25 people, including 8 males and 17 females; aged 60-80, of whom 16 are 60-65, 4 are 66-70, 3 are 71-75, 76-80 2 . The author first conducted a survey on the past history of the members of the regiment. The results were as follows: 8 cases of hypertension, 8 cases of coronary heart disease, 2 cases of cerebral thrombosis, 2 cases of chronic gastritis, 1 case of ulcer of intestinal ulcer, 10 cases of diabetes, Hepatitis and uremia for kidney recovery in 1 case. According to the physiological characteristics of the elderly, the past medical history and travel to affect the health of the main factors, to carry out prevention and treatment of chronic disease relapse and knowledge of disease education. The main contents of prevention of chronic disease recurrence are: the causes of chronic disease relapse in the elderly, the incidence of signs and symptoms, preventive measures and self-treatment. Prevention of possible diseases and accidental injuries The main contents are: to introduce the outbreak of the tourist destination, health conditions, environment, climate, food hygiene and preventive measures. At the same time, vaccination, travel health care drugs and disease-free insect bites to prevent drugs and so on. During the trip, inspect the morning and evening everyday, pay attention to the observation while traveling, and make good health records. Conduct a health survey within one month of the trip and make statistics on the use of travel health care kits. Due to pre-travel health education, health care and treatment, there were no serious travel health problems. However, during the seven-day trip, 4 cases of diarrhea, 2 cases of cold, 3 cases of trauma and 1 case of acute chronic gastritis occurred. The authors argue that preventing the recurrence of chronic diseases is an important part of travel health care for this special group of travelers from the elderly. How to prevent travel diarrhea, colds and traumatic injuries should be an important issue to be explored.