摘要目的 了解长远航舰艇人员感染性疾病的发病情况及治疗效果.方法 计算某舰长远航全程感染性疾病的构成比,并比较各感染性疾病在不同阶段的发病率,及不同抗生素的治疗效果.结果 长远航全程中,感染性疾病构成比从高到低依次为呼吸道感染(65.61％)、胃肠道感染(32.01％)、泌尿系感染(1.19％)及甲沟炎(1.19％).长远航中期胃肠道感染的发病率显著高于早期和后期.长远航中期和后期呼吸道感染的发病率均显著高于早期.在长远航中期和后期,阿奇霉素对非病毒性呼吸道感染的治愈率显著高于头孢呋辛.结论 呼吸道感染和胃肠道感染在长远航感染性疾病中多见.胃肠道感染和呼吸道感染发病率在长远航不同阶段差异显著.在长远航中期和后期,阿奇霉素治疗非病毒性呼吸道感染的疗效优于头孢呋辛.

abstractsObjective To investigate the incidence of infectious diseases among the naval shipboard personnel during prolonged deployment at sea and the therapeutic effects.Methods The constitution ratio of infectious diseases among the ship crew during prolonged deployment at sea was calculated and morbidity rates of various infectious diseases at different stages of deployment were compared,and the therapeutic effects of different antibiotics were carefully evaluated.Results During the whole course of prolonged deployment at sea,the constitution ratio of infectious diseases from high percentage to low percentage was respiratory tract infection(65.61％),gastrointestinal tract infection (32.01％),urinary system infection (1.19％) and paronychia(1.19％).The morbidity of gastrointestinal tract infection during the middle stage of deployment was significantly higher than those of the early and late stages.The morbidity of respiratory tract infection during the middle and late stages of deployment was significantly higher than that of the early stage.During the middle and late stages,the cure rate of azithromycin to non-viral respiratory tract infection was significant higher that of cefuroxime.Conclusions Both respiratory tract infection and gastrointestinal tract infection were all commonly seen during prolonged deployment at sea.Significant differences could be noted in the morbidity of respiratory tract infection and respiratory tract infection at different stages of deployment.The therapeutic effect of azithromycin was obviously superior to cefuroxime in the treatment of non-viral respiratory tract infection during the middle and late stages of prolonged deployment at sea.