本文選題：游泳場所 + 水質(zhì)　； 參考：《安徽醫(yī)科大學(xué)》2013年碩士論文

【摘要】：游泳是人們喜愛的健身、競技、休閑、康復(fù),醫(yī)療的活動,游泳場所的衛(wèi)生管理和池水的衛(wèi)生狀況直接影響到廣大群眾的身體健康。游泳場所衛(wèi)生管理工作不規(guī)范,易造成游泳池池水中含有大量的細(xì)菌和大量的病菌,造成介水傳染病等公共衛(wèi)生事件的發(fā)生,具有一定的傳染性、危害性,損害人們的健康,依據(jù)《公共場所衛(wèi)生管理條例》、《公共場所衛(wèi)生管理條例實施細(xì)則》和《游泳場所衛(wèi)生規(guī)范》的要求,必須采取嚴(yán)格措施對其進(jìn)行衛(wèi)生消毒工作。因此,加強(qiáng)游泳場所的衛(wèi)生管理和池水的消毒工作,對防止介水傳染病等公共衛(wèi)生事件的發(fā)生,保障人們身體健康具有重要的意義。 目的 了解馬鞍山市2006—2010年游泳場所的水質(zhì)游離性余氯、細(xì)菌總數(shù)、大腸菌群、pH值等衛(wèi)生指標(biāo)狀況,通過對2006—2010年游泳場所水質(zhì)游離性余氯、細(xì)菌總數(shù)、大腸菌群、pH值等衛(wèi)生指標(biāo)的分析和評價,分析游泳場所池水消毒工作中存在的問題,為進(jìn)一步加強(qiáng)游泳場所衛(wèi)生管理工作,規(guī)范游泳池水的消毒工作提供對策和措施,確保能有效的預(yù)防和控制游泳池水對人體健康的危害。 方法 以馬鞍山市2006—2010年以來對外開放的游泳場所為被調(diào)查對象,樣品來源于馬鞍山市衛(wèi)生監(jiān)督局夏季對游泳場所現(xiàn)場采集的水樣。游泳池水質(zhì)衛(wèi)生指標(biāo)結(jié)果來源于馬鞍山市衛(wèi)生監(jiān)督局現(xiàn)場監(jiān)測結(jié)果和馬鞍山市疾病預(yù)防控制中心化驗室檢測結(jié)果。依據(jù)《公共場所衛(wèi)生標(biāo)準(zhǔn)監(jiān)測檢驗方法》進(jìn)行檢驗,依據(jù)《游泳場所衛(wèi)生標(biāo)準(zhǔn)GB9667—1996》進(jìn)行評價。進(jìn)行監(jiān)測的衛(wèi)生指標(biāo)有池水pH值、渾濁度、尿素、游離性余氯、浸腳消毒池水余氯、細(xì)菌總數(shù)、大腸菌群等,其中池水游離性余氯、浸腳消毒池水余氯為現(xiàn)場檢測。依據(jù)《游泳場所衛(wèi)生標(biāo)準(zhǔn)》(GB9667—1996)對池水pH值、渾濁度、尿素、游離性余氯、浸腳消毒池水余氯、細(xì)菌總數(shù)、大腸菌群等指標(biāo)進(jìn)行評價。專人負(fù)責(zé)用SPSS11.0進(jìn)行數(shù)據(jù)錄入,嚴(yán)格數(shù)據(jù)核對、邏輯檢查以及異常值的判斷和處理。 結(jié)果 5年結(jié)果的合格率從低到高依次為游離性余氯、細(xì)菌總數(shù)、大腸菌群、尿素、浸腳池余氯、渾濁度、pH。 結(jié)論 各游泳場所的衛(wèi)生管理工作和池水消毒工作有待進(jìn)一步加強(qiáng),游泳池水的游離性余氯合格率偏低是主要的衛(wèi)生問題。 各游泳場所要以加強(qiáng)具體負(fù)責(zé)消毒工作的人員的實踐操作培訓(xùn)為重點(diǎn)的事前培訓(xùn),以分批分量多次、定時、定點(diǎn)、定量投加消毒劑為重點(diǎn)的規(guī)范投加工作,以定時、定點(diǎn)對池水余氯自測為重點(diǎn)的事后監(jiān)控。要促進(jìn)循環(huán)凈化消毒設(shè)施的改造、新建,促進(jìn)強(qiáng)制淋浴設(shè)施有效運(yùn)轉(zhuǎn),促進(jìn)強(qiáng)制式浸腳消毒池的正常使用；要規(guī)范整池?fù)Q水、規(guī)范補(bǔ)充新水和規(guī)范濁度監(jiān)控。開放期間適當(dāng)控制好游泳人數(shù),尤其重點(diǎn)控制好兒童青少年培訓(xùn)班的場次人數(shù)。同時根據(jù)實際人數(shù)、場次及時調(diào)整整池?fù)Q水和補(bǔ)充新水周期,尤其是高峰時段,應(yīng)縮短換水和補(bǔ)水周期,緩解水處理負(fù)荷,充分發(fā)揮各類藥劑的實際功效。衛(wèi)生監(jiān)督部門要加強(qiáng)對游泳場所開放期間游泳池水質(zhì)的衛(wèi)生監(jiān)督抽檢,做到“每周不定期抽檢、檢測結(jié)果公示和不合格結(jié)果追蹤處理”等三項措施的“三位一體”,確保水質(zhì)的衛(wèi)生安全。 目的了解馬鞍山市游泳場所經(jīng)常性衛(wèi)生監(jiān)督的干預(yù)效果。 方法對馬鞍山市11家游泳場所的15個游泳池進(jìn)行干預(yù)前后細(xì)菌總數(shù)、大腸菌群、pH值、渾濁度、尿素、游離性余氯等6項指標(biāo)測量,并對其工作人員的衛(wèi)生知識知曉率進(jìn)行統(tǒng)計,然后進(jìn)行干預(yù),測量比較干預(yù)前后指標(biāo)合格率是否有統(tǒng)計學(xué)差異。 結(jié)果共檢測游泳池水樣60份,干預(yù)后工作人員的衛(wèi)生知識知曉率得到顯著性提高,且都達(dá)到85%以上,但是游泳池水質(zhì)的測量指標(biāo)并沒有取得良好改善。 結(jié)論為進(jìn)一步改善水質(zhì),游泳高峰時期,從控制游泳人數(shù)、合理安排開放場次等方面制定有效的衛(wèi)生管理制度以提高衛(wèi)生管理水平；強(qiáng)化游泳池水的消毒工作,監(jiān)督監(jiān)測的重點(diǎn)在完善游泳場所游離性余氯的自測自控制度,同時要加強(qiáng)浸腳池水量和浸腳池中游離性余氯的監(jiān)測。
[Abstract]:Swimming is a popular fitness , athletics , leisure , rehabilitation , medical activities , the hygiene management of swimming places and the sanitary condition of the pond water directly influence the health of the broad masses .

Purpose

Based on the analysis and evaluation of the sanitary indexes such as the free residual chlorine , the total number of bacteria , the coliforms and the pH value of the swimming place in Ma On Shan City from 2006 to 2010 , the problems existed in the disinfection work of the swimming places were analyzed and evaluated through the analysis and evaluation of the sanitary indexes such as the free residual chlorine , the total number of bacteria , the coliforms and the pH value of the swimming place in 2006 - 2010 . In order to further strengthen the hygienic management of the swimming places and regulate the disinfection work of the swimming pool water , the countermeasures and measures are provided to ensure the effective prevention and control of the harm of the swimming pool water to the health of the human body .

method

The water samples collected from the water samples collected during the summer of Ma On Shan City from 2006 to 2010 were collected . The results of water quality sanitation in swimming pool were collected from the field monitoring results of Ma On Shan Municipal Health Supervision Bureau and the results of laboratory test in Ma On Shan Disease Prevention and Control Center .

Results

The qualification rate of the 5 - year results is from low to high in the order of free residual chlorine , total number of bacteria , coliforms , urea , residual chlorine , turbidity and pH .

Conclusion

The hygienic management of each swimming place and the disinfection work of the pond need to be further strengthened , and the low qualified rate of free residual chlorine in swimming pool water is the main health problem .

Each swimming place shall be trained to focus on the practice and operation training of personnel who are responsible for disinfection work , and add work in batches with a number of times , timing , fixed points and quantitative dosing and adding disinfectant , so as to regularly and fixed - point monitoring on the self - determination of residual chlorine in the pool . To promote the transformation and construction of circulating purification and disinfection facilities , to promote the effective operation of forced shower facilities , and to promote the normal use of forced - type foot - soaking disinfection pools ;
The health supervision department shall strengthen the health supervision and sampling of the swimming pool water quality during the open period of the swimming place , and ensure the sanitation and safety of the water quality .

Objective To investigate the intervention effect of regular health supervision in the swimming place in Ma On Shan .

Methods The total number of bacteria , coliforms , pH value , turbidity , urea and free residual chlorine were measured before and after the intervention of 15 swimming pools in 11 swimming pools in Ma ' anshan city , and the knowledge rate of health knowledge of their staff was counted . Then the intervention was carried out to measure whether there was statistical difference before and after the intervention .

Results 60 parts of swimming pool were detected , the awareness rate of health knowledge of staff after intervention was significantly improved , and all of them reached more than 85 % , but the measurement index of water quality of swimming pool was not improved .

Conclusion To further improve the quality of water and the peak period of swimming , an effective health management system should be developed from the aspects of controlling the number of swimming , rational arrangement of open fields and so on , so as to improve the level of health management ;
Strengthen the disinfection work of swimming pool water , supervise and monitor the self - test automatic control system of free residual chlorine in the swimming place , and strengthen the monitoring of free residual chlorine in the water immersion tank and the foot soaking pool .
【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：R126.4

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本文編號：2111038