热带岛礁某二级医院常见病特征分析  

Characteristics of common diseases in a secondary hospital in a tropical island

作　　者：魏宏名 张磊 张忆汝[3] 朱敏 马慧[1,4] WEI Hongming;ZHANG Lei;ZHANG Yiru;ZHU Min;MA Hui(School of Medicine,South China University of Technology,Guangzhou 510006,Guangdong Province,China;The Sixth Medical Center,Chinese PLA General Hospital,Beijing 100048,China;Navy Clinical College,Anhui Medical University,Hefei 230032,Anhui Province,China;Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]华南理工大学医学院,广东广州510006 [2]解放军总医院第六医学中心,北京100048 [3]安徽医科大学海军临床医学院,安徽合肥230032 [4]解放军总医院,北京100853

出　　处：《解放军医学院学报》2023年第5期466-474,共9页Academic Journal of Chinese PLA Medical School

基　　金：军队后勤科研计划课题(ALB19J003)。

摘　　要：背景热带岛礁特殊气候与当地常见病的发生相关,热带常见病特征的研究报道较少。目的回顾性分析热带岛礁某二级医院门诊就诊情况,探讨与大陆常见疾病谱的差异性,为热带岛礁常见病精准化防治提供参考。方法按照国际疾病分类(International Classification of Diseases,ICD)-10标准,统计分析热带岛礁某二级医院2016年1月-2019年12月门诊病历中62870例次诊断信息。结果就诊人群18~30岁年龄段占比最高(60.15%),男性(95.83%)占比远高于女性(4.17%)。按人体系统分,排名前5位的是肌肉骨骼系统和结缔组织疾病(19.15%)、呼吸系统疾病(17.57%)、消化系统疾病(15.50%)、皮肤和皮下组织疾病(10.24%)、损伤和中毒(8.13%)。按疾病类型分,排名前5位的是上呼吸道感染(9.81%)、腰痛(5.64%)、意外事故(5.58%)、皮炎(2.96%)、陈旧性肌肉劳损(2.08%)。结论热带岛礁常见疾病中上呼吸道感染是主要疾病类型,病原体不明确,存在流感暴发风险,应提高检测能力,予以针对性防控;同时应提高肌肉骨骼系统疾病和皮肤、皮下组织疾病的防治。Background Special climates in tropical regions affect the occurrence of common diseases,but studies describing the characteristics of common diseases in the tropics are lacking.Objective To retrospectively analyze the outpatient visit data of a secondary hospital in a tropical island,and explore the differences in the spectrum of common diseases between the tropical island and the mainland,so as to provide references for the precise prevention and treatment of common diseases in the tropical island.Methods According to the International Classification of Diseases(10th Revision),the outpatient medical records of 62870 cases from 2016 to 2019 in a secondary hospital in the tropical island were analyzed.Results The proportion of patients aged from 18 to 30 years had the highest incidence(60.15%).The proportion of male patients(95.83%)was higher than that of female patients(4.17%).The top five systemic diseases were diseases of the musculoskeletal system and connective tissue(19.15%),diseases of the respiratory system(17.57%),diseases of the digestive system(15.50%),diseases of the skin and subcutaneous tissue(10.24%),and injury,poisoning and certain other consequences of external causes(8.13%).The top five diseases were upper respiratory tract infections(9.81%),back pain(5.64%),accidents(5.58%),dermatitis(2.96%),and old muscle strain(2.08%).Conclusion Among common diseases in the tropical island,upper respiratory tract infections are the most frequent and its pathogens are unclear.Since there is a risk of influenza outbreaks,it is necessary to improve detection capacity and formulate targeted prevention and control strategies.At the same time,attention should be paid to improving the prevention and treatment of musculoskeletal system and connective tissue disorders and skin and subcutaneous tissue disorders.

关 键 词：热带气候 医院门诊 流行病学 国际疾病分类法 疾病谱 

分 类 号：R197.3[医药卫生—卫生事业管理]