中国第12次北极科学考察队员医疗资料分析  

Analysis of the medical data of the members of the 12th Chinese National Arctic Research Expedition

作　　者：郝俊杰[1,2] 陈建 Hao Junjie;Chen Jian(Department of Neurology,East Hospital,Tongji University School of Medicine,Shanghai 200120,China;National Medical Security and Research Center for Polar Expedition,East Hospital,Tongji University School of Medicine,Shanghai 200120,China)

机构地区：[1]同济大学附属东方医院,神经内科,上海200120 [2]同济大学附属东方医院,国家极地考察医疗保障与研究中心,上海200120

出　　处：《极地研究》2023年第1期160-165,共6页Chinese Journal of Polar Research

基　　金：上海市浦东新区领先人才计划(PWRI2018-01);上海市浦东新区高原学科建设计划(PWYgy2021-05);上海市临床重点专科项目(shslczdzk06103)资助。

摘　　要：为提高极地科学考察医疗保障水平,对北极科学考察医疗预防和救治方案提出针对性建议,本研究收集了搭乘“雪龙2”号极地考察船的中国第12次北极科学考察队员在航程中的医疗资料,包括统计就诊人数、各种疾病和外伤例数、各系统疾病和外伤例数及构成比,分析常见疾病和外伤的可能诱发因素。研究发现,在79 d航程期间(2021年7月12日—9月28日),100名中国第12次北极科学考察队员发生疾病和外伤并就诊的有76人(76%);共诊治疾病和外伤143人次(不含复诊),就诊例数前10的疾病和外伤依次为:皮肤损伤、咽炎(并列第1)、软组织损伤、胃炎、上呼吸道感染、手足皲裂或脱皮、失眠、口腔溃疡、视疲劳、痛风、皮癣(并列第10);根据发病系统和专科不同,就诊例数依次为创伤与骨关节疾病、皮肤疾病、耳鼻喉疾病、消化系统疾病、呼吸系统疾病、口腔疾病、眼科疾病、神经心理疾病、代谢与内分泌疾病、心血管疾病、泌尿生殖系统疾病。为此,建议进一步采取职业安全教育、加强安全防护和严格执行作业操作规范以及提高随队医生技能和加强远程医疗等措施。In order to improve the level of medical security and rescue during the polar cruises,and put forward/upgrade the corresponding medical prevention and treatment suggestions,the medical data of the members of the 12th Chinese National Arctic Research Expedition onboard the icebreaker R/V Xulong 2 were collected and analyzed.The constituent ratio and the number of the expedition members who were injured or ill and went to the doctor were counted;the constituent ratio and the number of the diseases and injuries of the expedition members were counted;the constituent ratio and the number of the diseases and injuries of various systems were counted;the possible inducing factors of common diseases and injuries were analyzed.The study found that during the 79-day voyage(from 12 July to 28 September 2021),76(76.0%)of the 100 expedition members were injured or ill and went to the doctor;143 person-times of the patients were made a diagnosis and given treatment(not including further consultation),the first ten diseases and injuries were skin injury,pharyngitis(tied first),soft tissue injury,gastritis,upper respiratory tract infection,chapped or peeling hands and feet,insomnia,dental ulcer,asthenopia,gout,dermatophytosis(tied for tenth).According to the physiological system of the human body,the diseases and injuries were trauma and bone and joint diseases,dermatological diseases,ear nose throat diseases,digestive diseases,respiratory diseases,stomatological diseases,ophthalmic diseases,neuropsychological diseases,metabolic and endocrine diseases,cardiovascular diseases,urogenital diseases.Therefore,it is suggested to take measures such as safety and health education,strengthening safety protection,strict implementation of operation specifications,improving team doctor skills and strengthening telemedicine.

关 键 词：北极 科考队员 疾病 外伤 医疗保障 

分 类 号：P941.62[天文地球—自然地理学] R195[医药卫生—卫生统计学]