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作 者:谢莎丽[1] 季一鑫[2] 王剑[2] 陈红平 林辉[4]
机构地区:[1]第三军医大学军事预防医学院健康教育学教研室 [2]空军后勤部卫生部 [3]95661部队后勤部卫生办 [4]第三军医大学军事预防医学院热带流行病学教研室
出 处:《军事医学》2017年第5期385-389,共5页Military Medical Sciences
基 金:国家社科基金军事学资助项目(15GJ003-169)
摘 要:目的分析空军官兵疾病谱的特点和变化规律,为掌握空军部队健康整体水平、确定疾病防控优先领域及制定有效健康促进措施提供参考依据。方法收集2009~2013年门急诊及住院疾病统计资料,按国际疾病分类法(ICD-9)进行统计描述。结果 B单位是2009~2013年各单位中就诊和住院人次数最多的单位,构成比分别达47.74%、39.64%。上呼吸道感染、胃肠炎/胃炎、慢性腰腿痛、皮肤病、鼻-鼻窦炎、训练伤、外伤、痔疮、精索静脉曲张以及结石类疾病等是空军官兵就诊和住院的常见病和多发病,在门诊和住院疾病谱中排前10位。其中,皮肤病发病率和住院率有逐年上升趋势。A单位的胃肠炎/胃炎发病率,B、D单位的慢性腰腿痛发病率或住院率,以及D单位的外伤发生率较其他单位常见,而神经性头痛、高血压等自主神经功能紊乱或心身疾病发病率在C、D单位较高。结论呼吸系统疾病,与职业特点相关疾病如慢性腰腿痛、训练伤、外伤,皮肤病以及消化系统疾病等是空军部队卫生防病工作的重点,应加强对以上疾病的健康教育和健康促进,以及重点人群的健康干预工作。Objective To analyze the characteristics and changes in the disease spectrum of Air Force(AF) servicemen in order to provide reference for the determinatron of the overall level of health of AF and priorities of disease prevention and control. Methods The data of outpatient and inpatient diseases between 2009 and 2013 in AF was collected and analyzed statistically according to the International Classification of Diseases-9 (ICD-9), and statistical description was performed with SPSS18. 0. Results Between 2009 and 2013, unit B had the highest number of outpatients and inpatients,accounting for 47.74% and 39.64% respectively. The upper respiratory tract infections, gastroenteritis/gastritis, chronic low back pain, skin diseases, nasal sinusitis, training injury, trauma, hemorrhoids, varicocele and stone diseases were the common and frequently occurring diseases in AF, which were the top ten in the disease spectrum. Among them, the incidence and admission rate of skin diseases kept declining. However, the incidence of gastroenteritis/gastritis in unit A, the incidence and admission rate of chronic low back pain in unit B and D, the incidence of injury in unit D, as well as the incidence of neurological headache and hypertension in unit C and D were higher than in other units. Conclusion Respiratory system disease, and occupation-related diseases such as low back pain, training injuries, trauma, skin disease and digestive system disease are the focus of health care in AF. Health education and health promotion for these diseases should be improved, and health intervention for key populations should he enhanced.
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