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目的:调查某部官兵野外驻训期间复发性阿弗他溃疡(RAU)发病情况。方法:选择2009年夏季在野外驻训的某部官兵166例,采用自制的RAU相关因素调查表,利用训练间歇对营区进行调查。发生RAU患者给予药物、心理辅导、饮食调整等综合治疗,并随访至痊愈或驻训结束。结果:官兵166例中发生RAU 67例,总发病率40.4%。其中油料仓库营区官兵发病率45.0%(18/40),汽车营营区官兵发病率48.0%(24/50),野战医疗队营区官兵发病率32.9%(25/76)。野战医疗队营区官兵发病率显著低于油料仓库及汽车营营区官兵(P<0.05)。≥30岁官兵中,RAU发病主要影响因素依次为吸烟(理化损伤)、慢性胃炎、失眠(自主神经功能紊乱)、精神紧张、疲劳、偏食、便秘、牙周炎等。<30岁官兵中,主要影响因素依次为精神紧张、偏食、吸烟、失眠、疲劳、慢性胃炎、便秘、牙周炎等。≥30岁官兵发病率与<30岁官兵比较,差异不显著(P>0.05)。结论:某部官兵野外驻训期间RAU发病率较高,不同年龄官兵RAU发病影响因素存在一定差异,应进行积极、有效的防治。
Objective: To investigate the incidence of recurrent aphthous ulcer (RAU) during field training in a ministry. Methods: A total of 166 officers and soldiers stationed in the field in the summer of 2009 were selected. A self-made RAU-related questionnaire was used to investigate the camp area using training intervals. RAU patients given drugs, psychological counseling, diet adjustment and other comprehensive treatment, and follow-up until the end of the cure or training. Results: There were 67 RAUs in officers and soldiers in 166 cases, the total incidence was 40.4%. Among them, 45.0% (18/40) were officers and soldiers in the barracks, 48.0% (24/50) in the car camp, and 32.9% (25/76) in the battalion of the field medical team. The incidence rate of field medical officers and soldiers in field medical teams was significantly lower than that of officers and soldiers in oil storage depot and vehicle operation area (P <0.05). Among the officers and soldiers aged 30 or older, the main influencing factors of RAU were smoking (physical and chemical damage), chronic gastritis, insomnia (autonomic nervous system dysfunction), mental stress, fatigue, partial eclipse, constipation and periodontitis. <30-year-old officers and men, the main influencing factors followed by mental stress, partial eclipse, smoking, insomnia, fatigue, chronic gastritis, constipation, periodontitis and so on. The incidence of officers and soldiers aged> 30 was not significantly different from that of officers and soldiers <30 years old (P> 0.05). Conclusion: The incidence of RAU is higher in the field training of a certain soldier in the field. The influencing factors of RAU of officers and soldiers of different age have some differences, and should be actively and effectively controlled.