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军队基层卫生队开展物理治疗的现状与思考
方凡夫1,韩刚2,周菲1,李东3,陈洪达1,顾伟1*
0
(1. 第二军医大学长海医院中医医院康复医学科, 上海 200433;
2. 解放军11医院中医科, 伊犁 835000;
3. 解放军69348部队卫生队, 伊犁 835000
*通信作者)
摘要:
目的 调查了解基层卫生队开展物理治疗的现状和问题,为基层部队规范物理治疗技术提供依据.方法 随机抽调全军师(旅)团单位卫生队(所)的军医235名,进行问卷调查,数据用Excel 2007软件分析.结果 有效问卷227份,有效率96.59%.军事训练伤是卫生队进行物理治疗的主要病种,急性软组织损伤、腰肌劳损、腰椎间盘突出症、肩周炎、颈椎病及骨关节炎的物理治疗率分别为86.56%、85.03%、65.30%、55.17%、47.76%和37.28%.卫生队物理治疗设备中,光疗、牵引及中频治疗仪的配备率分别为87.67%、67.84%和56.83%.在安全防护方面,47.14%的卫生队基本没有执行防辐射、消毒或隔离等安全措施.结论 物理治疗是基层军医的有力武器,已在基层卫生队中广泛开展.但物理治疗的特色和优势尚没有完全发挥,物理治疗的适应证掌握不准确,设备养护和安全防护等措施不到位.制定平战结合的物理治疗规范、提高基层军医康复理疗的技术能力、更新理疗设备等措施将有助于提升我军基层部队卫勤保障能力.
关键词:  基层卫生队  物理治疗技术  康复
DOI:10.3724/SP.J.1008.2015.00065
投稿时间:2014-04-04修订日期:2014-05-19
基金项目:总后勤部军事"530工程"(530ZY002),第二军医大学长海医院"1255"计划科研项目(CH125541700),第二军医大学任职教改项目(RZJYA201414),上海市卫计委"杏林新星"人才培养计划(ZY3-RCPY-2-2027).
Physical therapy in grassroot military medical units of PLA: current situation
FANG Fan-fu1,HAN Gang2,ZHOU Fei1,LI Dong3,CHEN Hong-da1,GU Wei1*
(1. Department of Rehabilitation, TCM Hospital of Changhai Hospital, Second Military Medical University, Shanghai 200433, China;
2. Department of TCM, No.11 Hospital of PLA, Yili 835000, Xinjiang, China;
3. Health Team of 69348 Troop of PLA, Yili 835000, Xinjiang, China
*Corresponding author)
Abstract:
Objective To know about the current situation and the existing problems concerning physical therapy in grassroot military medical units of PLA, so as to provide evidence for standard physical therapy in grassroot military medical units. Methods A total of 235 military physicians from the medical teams of division, brigade, and regiment of PLA were randomly surveyed on physical therapy. The collected data were analyzed using Microsoft Excel 2007. Results A total of 227 (96.59%) questionnaires were valid for analysis. Physical therapy was mainly used for military training-related injuries, including acute soft tissue injury (86.56%), lumbar muscle strain (85.03%), lumbar disc herniation (65.30%), frozen shoulder (55.17%), cervical spondylosis (47.76%), and osteoarthritis (37.28%). It was found that 87.67%, 67.84%, and 56.83% of the grassroot medical units were equipped with apparatuses for light therapy, traction, and intermediate-frequency therapy, respectively. As for safety protection, 47.14% of grassroot military medical teams had no measures for radiation protection, disinfection or quarantine. Conclusion Physical therapy is of great importance and has been popularized in grassroot military medical units of PLA. However, the advantages of physical therapy have not yet been fully utilized. The indictors of physical therapy are not accurately used and the related security protection is still not satisfactory. To make improvement, it needs to set up related regulations for both peacetime and wartime, to upgrade the skills of physicians, and improve the related equipments.
Key words:  medical unit  physical therapy modalities  rehabilitation