| 摘要: |
| 目的 分析某岛礁医院康复医学科就诊官兵疾病谱，为驻岛官兵常见疾病的预防和针对性治疗提供参考。方法 采用回顾性研究方法分析2018年6月1日至2020年7月31日于某岛礁医院康复医学科初次就诊的4 775例驻岛官兵的病历资料。利用医院信息化系统统计官兵的性别、年龄、就诊时间、诊断结果等，并按照国际疾病分类（ICD）-10标准对疾病进行分类统计。结果 4 775例初次就诊官兵中男4 703例（98.49%）、女72例（1.51%），排名前5位的病种分别是腰痛（58.35%，2 786/4 775）、颈痛（13.30%，635/4 775）、肩痛（7.29%，348/4 775）、膝关节痛（6.81%，325/4 775）、踝关节扭伤（3.31%，158/4 775）；男性官兵排名前5位的病种分别是腰痛（58.71%，2 761/4 703）、颈痛（13.13%，617/4 703）、肩痛（7.36%，346/4 703）、膝关节痛（6.83%，321/4 703）、踝关节扭伤（3.36%，158/4 703）；女性官兵排名前5位的病种分别是腰痛（34.72%，25/72）、颈痛（25.00%，18/72）、失眠（19.44%，14/72）、痛经（9.72%，7/72）、膝关节痛（5.56%，4/72）。结论 某岛礁驻岛官兵颈肩腰腿痛及关节病多发，这与岛礁环境气候恶劣及工作训练强度大有关，应进一步加强预防训练伤及相关康复知识的健康宣教，降低发病率及就诊率。 |
| 关键词: 岛礁 军事人员 康复医学 疾病谱 |
| DOI：10.16781/j.CN31-2187/R.20201365 |
| 投稿时间：2020-11-13修订日期：2022-05-08 |
| 基金项目:上海市进一步加快中医药事业发展三年行动计划［ZY（2018-2020）-ZYBZ-29］. |
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| Disease spectrum analysis of officers and soldiers in rehabilitation medicine department of an island hospital |
| LIU Qiu-jia,TANG Xiao-dong,LI Wei-hong* |
(Department of Acupuncture and Massage, School of Traditional Chinese Medicine, Naval Medical University (Second Military Medical University), Shanghai 200433, China
*Corresponding author) |
| Abstract: |
| Objective To analyze the disease spectrum of officers and soldiers in rehabilitation medicine department of an island hospital, so as to provide reference for the prevention and targeted treatment of common diseases. Methods A retrospective study was conducted to analyze the medical records of 4 775 officers and soldiers who first visited the rehabilitation medicine department of an island hospital from Jun. 1, 2018 to Jul. 31, 2020. Using the hospital information system, the gender, age, treatment time and diagnosis of officers and soldiers were collected, and the diseases were classified and counted according to the international classification of disease (ICD)-10 standard. Results There were 4 775 cases of officers and soldiers at their first visits, including 4 703 males (98.49%) and 72 females (1.51%). The top 5 diseases were low back pain (58.35%, 2 786/4 775), neck pain (13.30%, 635/4 775), shoulder pain (7.29%, 348/4 775), knee pain (6.81%, 325/4 775), and ankle sprain (3.31%, 158/4 775); the top 5 diseases of males were low back pain (58.71%, 2 761/4 703), neck pain (13.13%, 617/4 703), shoulder pain (7.36%, 346/4 703), knee pain (6.83%, 321/4 703), and ankle sprain (3.36%, 158/4 703); and the top 5 diseases of females were low back pain (34.72%, 25/72), neck pain (25.00%, 18/72), insomnia (19.44%, 14/72), dysmenorrhea (9.72%, 7/72), and knee pain (5.56%, 4/72). Conclusion Neck, shoulder, low back and leg pains and joint diseases are common in officers and soldiers on the island, which is related to the hostile environment and climate of the island and the intensive training. Health education of prevention training and rehabilitation knowledge should be further strengthened, so as to reduce the incidence and consultation rate. |
| Key words: islands military personnel rehabilitation medicine disease spectrum |
