CAJ | 학술논문

目的探讨高原紫外线对人体皮肤的影响及皮损的临床表现.方法由专业人员在海拔3700～4786m武警部队执勤官兵中随机调查1286例,详细记录官兵一般情况、高原入伍时间、累积日照时数及皮肤损伤情况,依据标准做出疾病分类分度诊断,最后进行统计学分析.结果 1286例执勤官兵,皮肤损伤率高达67.5%,其中晒黑798例,占调查对象的62.05%;光老化240例,占18.66%;多形性日光疹176例,占13.69%;晒伤171例,占13.30%.有213例合并2种皮肤损伤,152例合并3种皮肤损伤.晒黑、多形性日光疹和光老化患病率随着执勤官兵高原入伍时间延长而增高,随着累积日照时数增多而增高;晒伤多发生于初上高原的新兵,患病率则随着高原入伍时间延长而降低,随着累积日照时数增多而降低.结论高原紫外线辐射对执勤官兵皮肤损伤极其严重,亟待寻找有效的防治方法 .
목적 탐토고원자외선대인체피부적영향급피손적림상표현.방법 유전업인원재해발3700～4786m무경부대집근관병중수궤조사1286례,상세기록관병일반정황、고원입오시간、루적일조시수급피부손상정황,의거표준주출질병분류분도진단,최후진행통계학분석.결과 1286례집근관병,피부손상솔고체67.5%,기중쇄흑798례,점조사대상적62.05%;광노화240례,점18.66%;다형성일광진176례,점13.69%;쇄상171례,점13.30%.유213례합병2충피부손상,152례합병3충피부손상.쇄흑、다형성일광진화광노화환병솔수착집근관병고원입오시간연장이증고,수착루적일조시수증다이증고;쇄상다발생우초상고원적신병,환병솔칙수착고원입오시간연장이강저,수착루적일조시수증다이강저.결론 고원자외선복사대집근관병피부손상겁기엄중,극대심조유효적방치방법 .
Objective To characterize the skin damage induced by ultraviolet radiation in officers was observed in 67.5% of the 1286 officers and soldiers:tanning in 62.05%(798/1286),photoaging in 18.66%(240/1286),polymorphous light eruption in 13.69%(176/1286)and sunbum in 13.30%(171/1286).Two hundred and thirteen subjects each had two kinds of skin amage,and 152 subjects each had three kinds of skin damage.With the time of being in the army and cumulative sun-exposure period,the prevalence of tanning,photoaging and polymorphous light eruption increased,while the prevalence of sunburn decreased.Sunburn mostly occurred in newly assigned soldiers.Conclusions The condition of skin damage nduced by ltraviolet radiation iS severe in officers and soldiers working in high altitude,and effective measures are warranted for the prevention and treatment of the skin damage.