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目的分析高温高湿环境下抗洪救灾武警官兵的发病规律,为今后在类似抢险任务时科学配置卫勤保障人员和医疗资源提供一定参考。方法收集2016年参加抗洪救灾武警官兵的就诊资料,参照国际疾病分类标准ICD-10,采用Excel表格进行整理和分析。结果共计1796人次就诊,1745例有效病历资料,1921例单病种;皮肤科(709例)、外科(616例)、内科(274例)就诊人次最多;皮肤科单病种中湿疹(142例)、皮炎(94例)、毛囊炎(80例)、足癣(79例)例数较多,外科单病种中关节损伤(238例)和肌肉软组织损伤(242例)最多,内科单病种中上呼吸道感染(117例)、肠(胃)炎(39例)、胃-食管炎(22例)例数相对较多;救灾初期皮肤病较多,5 d总例数占50%以上(57.53%),随着任务进展,皮肤病比例逐渐减少,外科训练伤就诊比例逐渐增多,在救灾末期达到最多(49.69%),内科疾病在整个任务期间比例大致持平(10%~18%)。结论分析抗洪救灾武警官兵的疾病谱及发病规律,对今后在类似灾害卫勤保障时合理抽组人员及配置医疗资源有重要意义。
Objective To analyze the regularity of occurrence of the officers and soldiers of armed police in flood control and disaster relief under high temperature and high humidity environment and to provide some reference for the scientific allocation of medical support personnel and medical resources in the future. Methods The information on the attendance of officers and soldiers participating in the flood fighting and relief work in Armed Police Corps in 2016 was collected and analyzed according to the International Classification of Diseases ICD-10. Results A total of 1796 visits, 1745 cases of valid medical records, 1921 cases of single disease; dermatology (709 cases), surgery (616 cases), internal medicine (274 cases) the highest number of visits; dermatology eczema in a single disease ), Dermatitis (94 cases), folliculitis (80 cases) and athlete’s foot (79 cases) were the most common cases. Among the single-disease patients, there were 238 cases of joint injuries and 242 cases of muscular soft tissue injuries. There were more cases of upper respiratory tract infection (117 cases), gut (39 cases) and esophagogastritis (22 cases). There were more dermatological diseases in the early stage of relief work, and the total number of cases was more than 50% after 5 days (57.53%). As the progress of the task, the proportion of dermatoses gradually decreased, the proportion of surgical training injuries gradually increased, reached the maximum (49.69%) at the end of disaster relief, and the proportion of medical diseases remained roughly the same throughout the mission period (10-18% . Conclusion It is of great significance to analyze the disease spectrum and pathogenesis of the officers and soldiers of the armed police in flood control and disaster relief and rationally draw staff and allocate medical resources in future disaster-like medical aid.