摘要：
目的 了解某海军陆战队官兵海训期间医疗服务需求及利用的基本情况,为上级卫生决策部门合理分配卫生资源提出建议.方法 整群抽样某海军陆战队海训期间官兵2 276名,采用面谈式问卷调查.结果 某海军陆战队义务兵、士官、团及团以下干部2周患病率及慢性病患病率差异有统计学意义(P＜0.05);官兵2周患病情况中训练伤发病率最高,占比31.1％;而训练伤中又以擦伤、海蜇蜇伤为主;官兵2周患病就诊卫生机构选择以卫生队为主.结论 某海军陆战队官兵海训期间医疗服务需求量大,训练伤发病率占比最高,建议加大对海军陆战队基层卫勤保障机构的投入力度,提升基层卫生机构保障能力,强化训练伤健康教育环节,加强训练伤防治的科学研究,对训练伤的发生进行早期干预,从而提高官兵战斗力.%Objective To investigate the medical demand and utilization of health services during sea training in a certain navy marine unit,so as to provide evidence for the superior authority in health support decision for proper distribution of medical resources.Methods Cluster sampling method was used in a questionnaire survey among the 2 276 navy marine personnel in a face-to-face interview.Results The 2-week morbidity and the rate of chronic diseases were prevalent disorders among the compulsory servicemen,the noncommissioned officers,regimental and below regimental officers,and statistical significance could be noted,when comparisons were made (P ＜ 0.05).In the 2-week morbidity,training injury which mainly included bruise and jellyfish injuries was the most prevalent,accounting for 31.1％.Medical team was the main medical facility that the commissioned and the enlisted turned to for medical care,when they had 2-week disorders.Conclusions There was a great demand for medical service during sea training in a certain navy marine unit,and of all the disorders,training injury was the most prevalent disorder and accounted for the highest percentage.With this reason,it was suggest that more efforts should be made for the strengthening of basic medical service facility organic to navy marine units,so that medical support capacity of basic medical units could be enhanced.In addition,medical education on training injury should be intensified,scientific research on the prevention and treatment should be strengthened,and early intervention on training injury should be further emphasized,so as to increase the fighting capability of our navy marine personnel.
