| 摘要: |
| 目的 调查分析2018年6月至2019年10月某岛礁驻岛官兵的发病情况，为做好医疗保障提供依据。方法 提取该时间段岛礁医院的门诊登记信息，按《ICD-10疾病诊断名称及代码目录》疾病名称进行记录并归类，结合相关资料分析发病原因。结果 共统计门诊救治患者15 601人次，该岛礁常见疾病排名前5位的依次是骨科疾病（3 140人次）、皮肤病（3 017人次）、口腔疾病（2 623人次）、呼吸系统疾病（1 451人次）、耳鼻喉科疾病（1 228人次）。部分疾病如口腔、呼吸系统等常见病发病与季节有明显相关，7月份口腔科、呼吸科门诊量占该月份总门诊量比例较其他月份高，分别为20.41%（361/1 769）和15.49%（274/1 769）。各年龄段系统疾病患病情况各异，与50岁以下人员相比，≥ 50岁人员小内科（主要为风湿、血液、肾内、内分泌疾病）、心内科疾病占总患病例数百分比增加（P<0.05），分别为10.00%（10/180）和5.56%（18/180）。结论 岛礁驻岛官兵的发病情况有明显流行病学特点，不同年龄段呈现不同疾病谱，其医疗保障应有针对性。 |
| 关键词: 岛礁 军事人员 疾病谱 流行病学 |
| DOI：10.16781/j.0258-879x.2020.12.1386 |
| 投稿时间：2019-11-10修订日期：2020-05-11 |
| 基金项目:上海市自然科学基金（19ZR1455700），海军军医大学（第二军医大学）长海医院军事医学研究课题（2019SLZ027）. |
|
| Disease spectrum analysis of military personnel stationed on an island-reef |
| YU Man-li1,Lü Shi-wei2*,ZHAO Xian-xian1 |
(1. Department of Cardiology, Changhai Hospital, Naval Medical University(Second Military Medical University), Shanghai 200433, China;
2. No. 929 Hospital of PLA, Naval Medical University(Second Military Medical University), Shanghai 200433, China
*Corresponding author) |
| Abstract: |
| Objective To investigate and analyze the morbidity of military personnel stationed on an island-reef from Jun. 2018 to Oct. 2019, and to provide basis for medical and health support. Methods The outpatient registration information was extracted from the island-reef hospital. The medical records were classified according to ICD-10 and related catalog, and the causes of diseases were analyzed combined with relevant data. Results A total of 15 601 cases were collected in this study. The top five common diseases on the reef hospital included orthopedic diseases (3 140 cases), skin diseases (3 017 cases), oral diseases (2 623 cases), respiratory diseases (1 451 cases) and otorhinolaryngologic diseases (1 228 cases), and some of them such as stomatology, respiratory system diseases and other common diseases were significantly related to the season. The proportions of oral and respiratory diseases in July were 20.41% (361/1 769) and 15.49% (274/1 769), respectively, which were higher than other time of the year. The prevalence of systemic diseases in different age groups was different. Compared with those under the age of 50, the percentages of diseases of general medicine (mainly in rheumatism, blood, kidney and endocrine diseases) and cardiology significantly increased in patients older than 50 years old, being 10.00% (10/180) and 5.56% (18/180), respectively (P<0.05). Conclusion The morbidity of military personnel stationed on the island-reef has obvious epidemiological characteristics, with different disease spectra in different age groups, and the medical support should be given with pertinence. |
| Key words: island-reef military personnel disease spectrum epidemiology |
