首页|西藏某地区边防部队疾病谱特征分析及支援医疗人员配置对策研究

西藏某地区边防部队疾病谱特征分析及支援医疗人员配置对策研究

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目的 调查西藏林芝地区边防部队就诊官兵的病种情况,了解不同专科病种构成特点及在不同时间常见疾病的分布情况,为优化林芝地区边防部队医疗卫生资源的配置提供参考.方法 分析林芝地区某边防部队2019-01/2020-12月到卫生所及作者医院对口帮扶巡诊医疗队就诊官兵的相关临床信息,根据内科、外科、专科就诊情况对临床数据进行分类.结果 就诊官兵共932人次,最终纳入符合要求数据705人次.从2019~2020年西藏林芝地区边防部队就诊官兵疾病顺位来看,前6位系统疾病为上呼吸道感染、消化系统急慢性炎症、睡眠障碍、损伤和中毒、肌肉骨骼系统和循环系统疾病.内科最常见病种是呼吸道感染、消化系统急慢性炎症和睡眠障碍,共占全部内科疾病的89.68%(443/494).消化系统疾病,以急性胃肠炎为主,发病高峰时间为夏季的7、8、9月份;呼吸系统疾病发病高峰出现在春夏、秋冬交替的3、4月份和10、11月份.外科最常见病种是骨科疾病、普通外科疾病,共占全部外科疾病的80.28%(114/142).骨科疾病在5、6、7、8、9月份发病例数占全年骨科疾病总数的78.57%(44/56),而普通外科疾病在3、6、7、8、9月份发病总数占全年普通外科疾病总数的79.31%(46/58).专科前3位病种是皮肤科疾病、口腔科疾病和耳鼻喉科疾病.皮肤病以日光性皮炎为主要疾病,8、9两个月发病率最高;口腔科疾病以口腔粘膜溃疡与牙周疾病为主;耳鼻喉科疾病1~4月份发病率较高.结论 林芝地区边防部队常驻官兵病种以呼吸系统、消化系统、骨科、普通外科、皮肤科、口腔科疾病最为常见,各种疾病发病规律与海拔高度及季节变化密切相关,建议今后卫勤力量的配置和内地对口帮扶力量派驻可以此为基础,更精准高效地服务高原边防官兵.
Disease Spectrum Characteristics of Border Troops in A Certain Area of Tibet and Countermeasures for Supporting the De-ployment of Medical Personnel
Objective To investigate the disease types of officers and soldiers in a border defense force in Nyingchi region of Tibet,analyze the composition characteristics of different specialties and the distribution of common diseases at different time,so as to provide reference for optimizing the allocation of medical and health resources for plateau frontier defense forces.Methods The relevant clinical information of officers and soldiers of a border force in Nyingchi region who visited the health clnic and author's hospital helped visiting medical team from January 2019 to December 2020 were analyzed,and the clinical data were categorized according to treatment condition of internal medicine,surgery and special-ty.Results A total of 932 officers and soldiers were treated,including 705 cases that met the requirements.From 2019 to 2020,the top 6 system diseases were upper respiratory tract infection,acute and chronic inflammation of the digestive system,sleep disorders,injury and poisoning,musculoskeletal system diseases and circulatory system diseases in the frontier troops of Nyingchi region of Tibet.The most common diseases in internal medicine were respiratory tract infection,acute and chronic in-flammation of digestive system and sleep disorders,accounting for 89.68%(443/494)of all internal medicine diseases.Acute gastroenteritis was the main disease in diges-tive system diseases,and the peak time of the incidence was July,August and September in summer;the incidence of re-spiratory diseases peaked in March,April and October,No-vember,when spring,summer and autumn,winter alterna-ted.The most common surgical diseases were orthopedic diseases and general surgery diseases,accounting for 80.28%(114/142)of all surgical diseases.The incidence of orthopedic diseases in May,June,July,August and September accounted for 78.57%(44/56)of the total number of orthopedic diseases in the whole year,while the incidence of general surgery diseases in March,June,July,August and September accounted for 79.31%(46/58)of the total number of general surgery diseases in the whole year.The top 3 specialized diseases were dermatology,stomatology and ear,nose and throat diseases.Solar dermatitis was the main component of skin diseases,which was the highest in August and September;oral diseases were mainly oral mucosal ul-cers and periodontal diseases;the incidence of otolaryngology diseases was higher from January to April.Conclusion The disea-ses of the respiratory system,digestive system,orthopedics,general surgery,dermatology and stomatology are the most common among the resident border defense officers and soldiers in Nyingchi region.The incidence patterns of various dis-eases are closely related to altitude and seasonal changes.In the future,it is suggested that the allocation of medical forces and the deployment of mainland counterpart assistance forces can be based on this to more accurately and efficiently serve high-altitude border defense officers and soldiers.

High altitude districtMilitary personnelDisease spectrumMilitary medical supportDiagnosis

余锋、徐伟才、程祺、徐健、姚豪杰、罗昆仑、王东

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214044 江苏无锡,联勤保障部队904医院普通外科

214044 江苏无锡,联勤保障部队904医院卫勤处

全军心理疾病防治中心精神心理科

高原地区 军事人员 疾病谱 军事卫勤 诊断

军队心理卫生应用性项目(十二五)无锡市科技发展项目

12XL101wx03-02B0205-072001-10

2024

华南国防医学杂志
广州军区医学科学技术委员会

华南国防医学杂志

CSTPCD
影响因子:0.748
ISSN:1009-2595
年,卷(期):2024.38(3)
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