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上海市某部队战士慢性疼痛的流行病学调查
引用本文:高绥之,;吴萍,;王强,;顾申,;周玲君.上海市某部队战士慢性疼痛的流行病学调查[J].解放军医院管理杂志,2014(12):1134-1135.
作者姓名:高绥之  ;吴萍  ;王强  ;顾申  ;周玲君
作者单位:[1]第二军医大学学员旅,上海200433; [2]山东省莱西市人民医院重症医学科,莱西266600; [3]山东省莱西市人民医院胸外科,莱西266600; [4]第二军医大学转化医学研究院,上海200433
基金项目:国家自然科学基金(31171005)
摘    要:目的 通过了解慢性疼痛在基层部队战士中的发生情况及其对战士训练生活的影响状况,提出有效的干预措施,以期提高部队的战斗力。方法 随机整群抽取驻沪某部的157名战士作为研究对象,采用自行设计的调查问卷,评估战士慢性疼痛的基本情况,以及疼痛对训练和日常生活的影响。结果 86.6%的战士曾经有过疼痛问题,慢性疼痛发生率为26.1%,急性疼痛发生率为32.5%。以NRS评分对慢性疼痛程度进行分级:重度疼痛占14.6%,中度疼痛占53.7%,轻度疼痛占31.7%。慢性疼痛部位主要是腰部、膝关节和足踝区。慢性疼痛对生活和训练的影响程度较重,但未治疗率为53.7%。结论 基层部队对慢性疼痛需给予足够重视,采取相应措施,预防并处理战士的慢性疼痛问题。

关 键 词:慢性疼痛  流行病学  调查

Epidemiology Survey of Chronic Pain in the Soldiers in a Shanghai Force
Institution:GAO Sui-zhi ,WU Ping, WANG Qiang, GU Shen ,ZHOU Ling -jun (1. Student Brigade, Second Military Medical University, Shanghai 200433;2. ICU Section, Laixi People's Hospital, Laixi 266600; 3. Section of Chest, Laixi People's Hospital, Laixi 266600 ;4. Academy of Translational Medicine, Second Military Medical University, Shanghai 200433)
Abstract:Objective To know the incident rate of chronic pain and its impact on soldiers' training as well as living in a grassroots unit, and to provide effective interventions and improve the troops fighting capacity. Methods 157 soldiers from a grassroots unit as the research subjects were sampled and surveyed by the cluster random sampling method. The self- designed questionnaire was adopted to learn the basic information on chronic pain of soldiers and the impacts on training as well living. Results 86.6% of the soldiers have ever had troubles with pain. The incident rate of chronic pain was 26. 1% and which of acute pain was 32.5%. In the severity grading of chronic pain by the NRS scores, severe pain accounted for 14. 6%, moderate pain accounted for 53.7% and mild pain accounted for 31.7%. The soldiers' three common chronic pain areas are lumber, knee and ankle. Although chronic pain has taken a great impact on training and living, the untreated rate was still 53.7%. Conclusion As the high incident rate of chronic pain, the training and living of soldiers are affected obviously. However, most soldiers take no effective measures. The chronic pain should be paid more attention in grassroots units, and we should take related measures to prevent and deal with it.
Keywords:chronic pain  epidemiology  survey
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