北京奥运村暨残奥村综合诊所内科患者病情及转归分析  

Clinical conditions and outcomes of medical patients cared at the Polyclinic of Beijing 2008 Olympic and Paralympic Village

作　　者：吴东[1] 范洪伟[2] 吴炜[3] 高凤莉[4] 马遂[5] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院内科,100730 [2]中国医学科学院北京协和医学院北京协和医院感染内科,100730 [3]中国医学科学院北京协和医学院北京协和医院心内科,100730 [4]中国医学科学院北京协和医学院北京协和医院门诊部,100730 [5]中国医学科学院北京协和医学院北京协和医院门诊科,100730

出　　处：《中华全科医师杂志》2009年第7期448-450,共3页Chinese Journal of General Practitioners

摘　　要：目的分析北京奥运会暨残奥会运动员村医疗服务特点，为今后大型集会的医疗服务提供借鉴。方法回顾性分析奥运会（2008年7月27日至8月27日）及残奥会（2008年8月29日至9月19日）运动员村综合诊所内科就诊患者资料，进行单因素和多因素分析。结果奥运会期间综合诊所内科共接诊患者1537例，残奥会1206例。残奥会运动员患者比例显著高于奥运会（14．2％比9．8％，P〈0．01）。奥运会共接诊775例（50．4％）急性呼吸道疾病，其中哮喘16例（1．0％）；残奥会接诊686例（56．9％），其中哮喘8例（0．7％）。奥运会和残奥会接诊患者分别有149例（9．7％）和162例（13．4％）应用抗生素。奥运会12例（0．8％）患者住院，残奥会4例（0．3％）。年龄≥55岁（OR值5．3，95％CI1．4～19．6）和患消化系统疾病（OR值9．5，95％CI2．5—36．4）是住院的独立危险因素。结论呼吸道疾病是综合诊所内科最常见的就诊原因，哮喘没有对运动员造成较大影响。抗生素的使用得到了较好的控制。高龄患者和消化道疾病患者病情相对较重，今后大型集会医疗服务应予以关注。Objective To investigate clinical service delivered at the Polyclinic of Beijing 2008 Olympic and Paralympic Village and outcomes of the medical patients visited there, to provide experiences in medical care service for other mass-gatherings in the future. Methods Clinical data of all the medical patients evaluated at the Polyclinic during July 27 to August 27 and during August 29 to September 19, 2008 were reviewed retrospectively, with univariate and multivariate analyses. Results In total, 1537 and 1206 medical patients visited the Polyclinic at the Olympic and Paralympie Village, respectively. Proportion of athletes visited was higher during the Paralympic Games than that during the Olympic Games （ 14. 2% vs. 9. 8% , P 〈 0. 01 ）. We received 775 patients （50.4%） with acute respiratory tract disorders, including 16 eases （1.0%） with asthma, during the Olympic Games, and 686 （56. 9% ）, including eight cases （0. 7% ） with asthma, during the Paralympic Games, and antibiotics were prescribed for 149 （9. 7% ） and 162 （ 13.4% ） of them, respectively. Twelve （0. 8% ） patients were hospitalized during the Olympic Games and four （0. 3% ） during the Paralympic Games, and age equal to or more than 55 years and digestive disease were independent risk factors for hospitalization, with odds ratios （ ORs ） of 5.3 and 9. 5 and their 95% confidence intervals （ CIs ） of 1.4 - 19. 6 and 2. 5 - 36. 4, respectively. Conclusions Acute respiratory disorder was the most common cause for medical visits in the Polyclinic. Asthma did not play a significant role to influence athletes＇ performance in the Beijing 2008 Olympic and Paralympic Games. Antibiotic prescription in the Polyclinic had been controled to an acceptable level. Conditions in elder patients and those with digestive disorder tended to be severe, deserving more attention infuture＇s mass gathering.

关 键 词：内科 大型集会 回顾性研究 

分 类 号：R19[医药卫生—卫生事业管理]