某野战医疗所高原驻训前3个月人员患病特点及原因分析  

Characteristics and Causes of Diseases of Personnel in One Field Medical Office in 3-month Plateau Training

作　　者：屈晓东 郑英 巨清华 何毅刚 桑发文 汉瑞娟 石永中 QU Xiao-yuan;ZHENG Ying;JU Qing-hua;HE Yi-gang;SANG Fa-wen;HAN Rui-juan;SHI Yong-zhong(Department of Neurosurgery Surgery,the 940th Hospital of Joint Logistics Support Forces of PLA,Lanzhou 730050,China;Department of Ultrasonics,the 940th Hospital of Joint Logistics Support Forces of PLA,Lanzhou 730050,China;Department of Medical Affairs,the 940th Hospital of Joint Logistics Support Forces of PLA,Lanzhou 730050,China;Department of Respiratory Medicine,the 940th Hospital of Joint Logistics Support Forces of PLA,Lanzhou 730050,China;Department of Pharmacy,the 940th Hospital of Joint Logistics Support Forces of PLA,Lanzhou 730050,China;Department of Obstetrics and Gynecology,the 944th Hospital of Joint Logistics Support Forces of PLA,Jiuquan,Gansu 735000,China)

机构地区：[1]中国人民解放军联勤保障部队第九四〇医院神经外科,兰州730050 [2]中国人民解放军联勤保障部队第九四〇医院超声科,兰州730050 [3]中国人民解放军联勤保障部队第九四〇医院卫勤部,兰州730050 [4]中国人民解放军联勤保障部队第九四〇医院呼吸内科,兰州730050 [5]中国人民解放军联勤保障部队第九四〇医院药剂科,兰州730050 [6]中国人民解放军联勤保障部队第九四四医院妇产科,甘肃酒泉735000

出　　处：《解放军医药杂志》2021年第4期94-98,共5页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

基　　金：全军青年培育项目(14QNP017)。

摘　　要：目的调查某野战医疗所高原驻训3个月人员患病特点并分析原因,为优化卫生资源配置和卫勤保障方案提供科学依据。方法收集2020年6—9月执行高原驻训任务的某野战医疗所官兵的伤病员信息,参照《ICD-10疾病诊断名称及代码目录》进行分类统计。结果驻训3个月纳入者共患病459例次。第1个月221例次,第2个月137例次,第3个月101例次,呈逐月下降趋势。高原驻训3个月居前2位的系统疾病为呼吸系统和消化系统疾病,占总病例数发病例次66.45%。疾病谱随着驻训时间的延长而有所变化。结论医务人员专业设置和药物配备应以呼吸、消化、损伤类疾病为重点,同时兼顾疾病谱分布广的特点。注重随驻训时间延长疾病谱的变化特点,针对不同时段疾病谱的变化特点做好针对性预防措施。Objective To investigate characteristics and causes of diseases of personnel in one field medical office in 3-month plateau training in order to provide scientific basis for optimizing allocation of health resources and medical support programs.Methods Information of sick and wounded people in a field medical office from June to September 2020 was collected,and then it was performed classification statistic by using ICD-10 Diagnostic Name and Code Catalogue.Results A total of 459 cases were included in the 3 months,and there were 221 cases in the first month,137 cases in the second month and 101 cases in the third month.The included cases showed downward trend by month.The top two systemic diseases were respiratory system diseases and digestive system diseases,which accounted for 66.45%of the total cases during 3-month plateau training.The disease spectrum was changed with prolonging plateau training.Conclusion Medical staffs should focus on respiratory,digestive and injury diseases in preparation of professional allocation and medication,and pay attention to characteristics of wide distribution of disease spectrum.Medical staffs should also pay attention to change of disease spectrum with prolonging plateau training,and give specialized preventive measures according to change of disease spectrum in different periods.

关 键 词：疾病谱 高原 卫勤保障 高原缺氧 药物配备 野战医疗所 

分 类 号：R821.33[医药卫生—临床医学]