南沙守岛官兵创伤与外科急危重疾病调查分析  

Survey and analysis of trauma and surgical critical illness on soldiers stationed on islands at the South China Sea

作　　者：汪先兵[1] 谢培增[1] 刘剑[1] 卞玉和 刘妲[1] 尧江[1] 周锋[1] 白金喜[1] 

机构地区：[1]解放军第四二一医院神经外科 [2]解放军38021部队

出　　处：《海军医学杂志》2010年第3期256-258,共3页Journal of Navy Medicine

基　　金：全军医学科学技术研究"十一五"课题项目(06MB174)

摘　　要：目的了解南沙守岛官兵创伤与外科急危重疾病情况,分析创伤与外科急危重疾病与该海区环境的关系,为南沙守岛官兵平战时创伤与外科急危重疾病的防治提供有效方法。方法根据疾病分类,分别统计1999年1月至2009年12月守岛部队守岛期间(岛上组)和驻陆地期间(陆地组)的创伤与外科急危重疾病病例,结合相关资料分析南沙守岛官兵的外科急危重疾病发病原因。结果岛上组创伤与外科急危重前5位系统疾病为:消化系统(29.3%)、运动系统(23.2%)、泌尿系统(21.5%)、神经系统(4.9%)和呼吸系统(4.2%);陆地组创伤与外科急危重前5位系统疾病为:运动系统(34.8%)、消化系统(18.8%)、泌尿系统(12.4%)、呼吸系统(9.7%)和神经系统(6.0%)。按创伤与外科急危重疾病的数量排序,岛上组前3位依次是急性阑尾炎(28.6%)、泌尿系结石(25.9%)、扭伤和挫伤(12.8%);陆地组是扭伤和挫伤(20.3%)、泌尿系结石(15.3%)、急性阑尾炎(15.2%)。岛上组急腹症发病率高于陆地组,创伤发病率低于陆地组(P<0.01)。结论守岛官兵创伤与多发性外科急危重疾病与南海高温、高湿、高盐环境及劳动强度有关。需进一步改善守岛部队平时的医疗条件,提高南沙的卫勤保障能力;重视南海守岛官兵创伤与外科急危重疾病的防治研究。Objective To survey trauma and surgical critical illness of soldiers stationed on islands at the South China Sea,and analyze relations between the trauma and surgical critical illness and the environment,so as provide an effective method for the prevention and treatment of the trauma and surgical critical illness on islands at the South China Sea.Methods According to the disease class,the trauma and surgical critical illness were differentiated the number of outpatient in the guarding islands troops during guarding islands（island group） and garrison land（land group）,and the reasons of trauma and surgical critical illness were analyzed based on correlated information.Results In the island group,the first five systemic disease on trauma and surgical critical illness were digestive system（29.3%）,motion system（23.2%）,urinary system（21.5%）,nervous system（4.9%）and respiratory system（4.2%）,respectively.In the land group,motion system（34.8%）,digestive system（18.8%）,urinary system（12.4%）,respiratory system（9.7%） and nervous system（6.0%）,respectively.According to case quantity of the trauma and surgical critical illness,the first was acute appendicitis（28.6%）,then urinary stone（25.9%）and last sprain（12.8%）in the island group.And sprain（20.3%）,urinary stone（15.3%）and acute appendicitis（15.2%）in the land group.Ranking of prevalence rate was acute abdominal disease obviously higher and trauma obviously lower in the island group than in the land group（P0.01）.Conclusion Major factors affecting the trauma and surgical critical illness include in hot,humid and salt environment at the South China Sea.The medical condition should be taken appropriate to improve to medical support for soldiers of guarding islands at the South China Sea.The prevention research should be thought highly of the trauma and surgical critical illness at the South China Sea.

关 键 词：南沙守岛官兵 创伤 外科急危重疾病 调查 

分 类 号：R195.4[医药卫生—卫生统计学]