武警某部执勤战士精索静脉曲张流行病学调查

摘要

目的：了解武警某部基层一线执勤战士精索静脉曲张的发病率。方法2013-06至2013-09组织泌尿专科医师及当地卫生队医师分别前往武警某部12个支队基层一线执勤部队进行体检及问卷调查，采用分层整体抽样方法。1年兵龄、2年兵龄、2年以上兵龄战士均为720名（每个支队每个兵龄段各抽取60名），共2160名。结果发现精索静脉曲张患者208例，发病率为9．62％，其中Ⅰ度114例，Ⅱ度56例，Ⅲ度38例。1年兵龄发病39例（5．42％），2年兵龄101例（14．03％），2年以上兵龄68例（9．44％）。2年兵龄较1年兵龄发病率明显提高（χ2＝29．44，P＜0．01），2年兵龄以上发病率反而较2年兵龄有所降低（χ2＝7．30，P＜0．01）。结论基层一线执勤部队站哨时间长，训练强度大，可能导致精索静脉曲张的发病明显增加。%Objective To investigate the incidence of varicocele in grassroots soldiers of Zhejiang Provincial Armed Police Corps.Methods Urology specialists and local health team doctors were organized to do physical examination for grassroots soldiers in twelve branches of Armed Police Corps of Zhejiang Province and stratified cluster sampling questionnaire survey was conducted.The sur-vey selected 2160 soldiers from these 12 teams, including 720 one-year experience soldiers, 720 two-year experience solders and 720 more than two-year experience soldiers.Results Detection 208 patients with varicocele, a 9.62%incidence of the disease.Among these pa-tients, 114 found lay in degreeⅠ, 56 degreeⅡand 38 degreeⅢ.39 (5.42%) one-year experience soldiers, 101 (14.03%) two-year ex-perience solders and 68 (9.44%) more than two-year experience soldiers were found to have varicocele.It is clear that two-year experi-ence solders have an obvious increasing rate to get varicocele than one-year experience soldiers(χ2 =29.44,P<0.01).However, more than two-year experience soldiers have a decreasing rate to get varicocele than two-year experience soldiers (χ2 =7.30,P<0.01) .Con-clusions Grassroots soldiers have long sentry duty time and training time, which increases the rate to get varicocele.