少数民族地区妇产科患者诊治情况分析  

Diagnosis and Treatment Analysis of Patients in Department of Obstetrics and Gynecology in Ethnic Minority Area

作　　者：李国敏[1] LI Guo-min(Department of Obstetrics and Gynecology,Liangshan Combine Traditional Chinese and Western Medicine Hospital,Xichang 615000,China)

机构地区：[1]凉山州中西医结合医院妇产科,四川省西昌市615000

出　　处：《实用心脑肺血管病杂志》2017年第B12期27-29,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的分析少数民族地区妇产科患者诊治情况。方法选取凉山州中西医结合医院妇产科2014—2016年收治的患者6494例,收集患者的一般资料。结果 2014—2016年,妇产科就诊患者中以农村为主,且略呈逐年上升趋势。妇产科就诊患者中以彝族为主,汉族占第2位,藏族、回族、傈僳族等其他少数民族比例较小,病例较分散。6494例就诊患者中,因产科疾病就诊3963例,盆腔包块931例,盆腔炎1349例,其他251例。不同民族间疾病谱分布不同,彝族患者以产科和盆腔包块为主,汉族患者以盆腔包块和盆腔炎为主。不同地区间疾病谱分布不同,农村患者以产科和盆腔包块为主,汉族患者以盆腔包块和盆腔炎为主。所有患者治疗方式中,采取手术治疗和保守治疗的比例相差不大。在患者入院后的检查中,发现HIV(+)177例,其中产科101例(57.1%),其他76例(42.9%);根据本院特色开展了中医中药灌肠及物理疗法,均在患者中产生了良好的效应。结论农村地区和少数民族患者的就诊意愿呈提高趋势,妇产科病因多样,应结合病因和患者的情况及时采取针对性治疗,在诊疗过程中还应注意防止发生职业暴露。Objective To analyze the diagnosis and treatment of patients in Department of Obstetrics and Gynecology in ethnic minority area.Methods A total of6494cases of patients were selected from2014to2016in Liangshan Combine Traditional Chinese and Western Medicine Hospital,the patients'general informations were collected.Results From2014to2016,the clinic patients in Department of Obstetrics and Gynecology were mainly in rural areas,and showed a rising trend year by year.The Yi people was given priority of all Obstetrics and Gynecology clinic patients,the Han nationality accounted for the second,Tibetan,hui,lisu and the other ethnic minorities proportion were small,cases are scattered.Of all6494cases of hospitalized patients,obstetrical diseases clinic were3963cases,931cases were diagnosed as pelvic mass,1349cases were pelvic infection,the others were251cases.Patients with ariations distribution were different between different ethnic groups,Yi was given priority to obstetric and pelvic mass,the Han nationality were mainly with pelvic masses and pelvic inflammatory disease.Ariations distribution between different areas,rural patients were mainly with obstetric and pelvic mass,the Han nationality patients were with pelvic masses and pelvic inflammatory disease.All of the treatments,surgery and conservative therapy took basically the same proportion.In patients admitted to hospital after inspection,177cases showed HIV(+),with101cases of obstetrics(57.1%),other diseases were76cases(42.9%).According to our hospital characteristics,traditional Chinese medicine enema and physical therapy was carried out,which had produced a good effect in the patients.Conclusion Rural areas and minority nationality patients'willingness to see a doctor show a trend of increasing,the Department of Obstetrics and Gynecology causes diversity,our doctors should combine the causes and the patients to take timely targeted treatment.In the process of diagnosis and treatment,our doctors should also pay attention to prevent occupational exposure.

关 键 词：少数民族地区 妇产科 诊断 治疗 

分 类 号：R197.3[医药卫生—卫生事业管理]