南沙守岛官兵内科急危重疾病调查分析  

INVESTIGATION ON CRITICAL EMERGENCY OF INTERNAL MEDICINE IN SOLDIERS STATIONED IN NANSHA ISLANDS

作　　者：谢培增[1] 沙建平[1] 卞玉和[2] 汪先兵[1] 贺顺龙[1] 刘剑[1] 林煜[1] 刘妲[1] 饶江[1] 周锋[1] 

机构地区：[1]解放军第四二一医院神经外科 [2]解放军38021部队卫生队

出　　处：《解放军预防医学杂志》2011年第1期30-32,共3页Journal of Preventive Medicine of Chinese People's Liberation Army

基　　金：全军医学科学技术研究"十一五"课题项目(No.06MB174)

摘　　要：目的了解南沙守岛官兵内科急危重疾病情况,并分析内科急危重疾病与该海区环境的关系,为南沙守岛官兵平时内科急危重疾病的防治提供依据。方法根据疾病分类,统计1999年1月-2009年12月南沙某部800名守岛官兵所患内科急危重疾病的分布情况。根据官兵工作地点不同分为岛上组(守岛期间)和陆地组(驻陆地期间),结合相关资料分析南沙守岛官兵内科急危重疾病的发病原因。结果岛上组与陆地组内科系统急症就诊人次前5位均为物理损害所致急症、急性中毒、呼吸系统急症、消化系统急症和循环系统急症。但2组急症的构成比不完全相同,岛上组呼吸系统急症占14.0%,明显高于陆地组(8.7%)(P<0.01);岛上组急性中毒占25.6%,消化系统急症占13.9%,分别明显低于陆地组(31.4%和16.3%)(P<0.01);岛上组急性肺炎、急性化学性毒物中毒和急性上消化道出血构成比均明显高于陆地组(P<0.01)。结论岛上内科系统急症发生特点不同于陆地,其原因可能与南海的高温、高湿、高盐环境有关。Objective To study the critical emergency of internal medicine in soldiers stationed in Nansha Islands,analyze the relations between the diseases and the environment,so as to provide the basis for prevention and treatment of these diseases.Methods According to the classification of diseases,the distribution and cause of critical emergency of internal medicine were surveyed in 800 soldiers in January 1999 to December 2009.The soldiers were divided into island group（stationed in islands period） and land group（staying at land period）.Results The top five higher incidence of critical emergency of internal medicine included emergency induced by physical damage,acute poisoning,respiratory system emergency,digestive system emergency,and circulatory system emergency,but the constituent ratio of emergency were different between two groups：for instance,that of respiratory system emergency in island group was higher than in land group（14.0% vs 8.7%,P0.01）,while those of acute poisoning,and digestive system emergency were lower than in land group（25.6% vs 31.4%,13.9% vs 16.3% respectively,P0.01）.Moreover,the constitution ratio of acutepneumonia,acute chemical poisoning,and acute upper gastrointestinal hemorrhage in island group were higher than in land group（P0.01）.Conclusions The incidence of critical emergency of internal medicine in soldiers stationed in islands was different from that in soldiers staying at land,which may be related to hot humid and high salt environment.

关 键 词：南沙群岛 守岛官兵 内科急危重疾病 调查 

分 类 号：R195.4[医药卫生—卫生统计学]