【摘要】：目的通過對夏季5-km武裝越野考核進行防熱射病跟訓(xùn)保障,探討防熱射病跟訓(xùn)保障模式。方法對某部參加2016年夏季5-km武裝越野考核且資料完整的501名官兵進行現(xiàn)場跟訓(xùn)保障,按是否負重分為負重組270人、非負重組231人,負重組負重9~12kg。監(jiān)測官兵考核前后的體溫,比較兩組官兵考核前后體溫變化及考核后發(fā)熱人數(shù)。結(jié)果參加夏季5-km武裝越野考核501人,考核后體溫37℃者共51人(10.18%),體溫最高40.9℃。留觀者共9人,其中因監(jiān)測體溫15min仍38℃而留觀者4人,經(jīng)降溫輸液處理50~120min后體溫降至37℃以下;因胸悶、憋氣、腹痛而留觀者4人,因暈倒而留觀者1人,此5人經(jīng)觀察處置均好轉(zhuǎn),無1例后送醫(yī)院�？己饲柏撝亟M與非負重組體溫差異無統(tǒng)計學(xué)意義,考核后負重組體溫高于非負重組[(36.64±0.67)℃vs(36.48±0.38)℃,P0.05],且負重組發(fā)熱人數(shù)多于非負重組[16.67%(45/270)vs 2.60%(6/231),P0.05]。結(jié)論夏季5-km武裝越野考核可引起體溫升高,存在誘發(fā)熱射病的潛在風(fēng)險。建立有針對性的跟訓(xùn)保障模式有助于及時發(fā)現(xiàn)并迅速處置,可有效預(yù)防熱射病的發(fā)生。
[Abstract]:Objective to explore the mode of heat prevention and follow training for 5-km armed off-road training in summer. Methods 501 officers and soldiers who took part in the 5-km armed cross-country examination in summer 2016 and had complete data were given on-the-spot training support. According to whether they were loaded with weight, they were divided into negative recombination 270, non-negative recombination 231 and negative recombination load 9 12kg. To monitor the body temperature of officers and soldiers before and after examination, to compare the changes of body temperature before and after examination and the number of fever after examination. Results among the 501 people who took part in the 5-km armed cross-country examination in summer, 51 (10.18%) had a body temperature of 37 鈩，

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