联合国南苏丹西部战区维和人员肌肉骨骼疾病的分析  

Musculoskeletal Injuries of Peacekeepers in Western Theater Command of the United Nations Mission in South Sudan

作　　者：陈永康 杨磊 陶真真 熊承杰 徐峰 孙超 CHEN Yongkang;YANG Lei;TAO Zhenzhen;XIONG Chengjie;XU Feng;SUN Chao(Department of Orthopedics,General Hospital of Central Theater Command,Wuhan Hubei 430070,China)

机构地区：[1]中部战区总医院骨科,湖北武汉430070

出　　处：《联勤军事医学》2024年第3期238-241,245,共5页Military Medicine of Joint Logistics

基　　金：湖北省自然科学基金青年项目(2022CFB878)。

摘　　要：目的评估联合国南苏丹特派团西部战区维和人员肌肉骨骼疾病(musculoskeletal injuries,MSIs)的类型和诊疗特点。方法回顾性分析2021-12/2022-12月期间某国工兵营一级医院、某国步兵营一级医院、某战区一级医院和某国二级医院MSIs患者的临床资料,调查并分析MSIs的类型、诊断和治疗情况。结果共接诊来自超过40个国家的374例MSIs患者,其中男性261例,女性113例,平均年龄37.83岁。MSIs主要致病机制为慢性退变性疾病(32.89%,123/374)、运动相关疾病(28.34%,106/374)和工作相关疾病(21.66%,81/374)。MSIs主要的发病部位腰(20.32%,76/374)、膝关节(13.64%,51/374)和颈(12.83%,48/374)。MSIs最常见病因为腰肌劳损,共有122例。一级医院MSIs主要的治疗方式为非甾体类抗炎药(nonsteroidal antiinflammatory drugs,NSAIDs)治疗(44.86%),40%(74/185)的患者转移至上级医院,而二级医院MSIs主要治疗方式为NSAIDs(26.98%)、康复理疗(24.87%)和石膏固定(16.93%)。结论MSIs是联合国南苏丹特派团西部战区维和人员最常见的疾病,应根据MSIs类型和诊疗特点,充分准备相应的防治药物和医疗器械,并做好突发危重疾病的诊疗和后送预案。Objective To estimate the types,characteristics of diagnosis and treatments of musculoskeletal injuries(MSIs)of peacekeepers in the western theater command of the United Nations Mission in South Sudan.Methods The clinical data of patients with MSIs in the levelⅠhospital of an engineering battalion,the levelⅠhospital of an infantry battalion,the levelⅠhospital of a theater command and the levelⅡhospital of a country from December 2021 to December 2022 were retrospectively analyzed,and the types of MSIs,diagnosis and treatments were investigated and analyzed.Results A total of 374 MSIs patients from more than 40 countries were treated,which including 261 males and 113 females,with an average age of 37.83.The main pathogenic mechanisms of MSIs were chronic degenerative diseases(32.88%,123/374),sports-related diseases(28.34%,106/374)and work-related diseases(21.65%,81/374).The most common MSIs of the peacekeepers in the western theater command of the United Nations Mission in South Sudan was low back pain,with 122 cases.Nonsteroidal antiinflammatory drugs(NSAIDs)(44.86%)were the main treatments for MSIs in the levelⅠhospitals,and 40%(74/185)of the patients were transfered to the higher-level hospitals,while NSAIDs(26.68%),rehabilitation physiotherapy(24.87%)and plaster fixation(16.93%)were the main treat-ments for MSIs in the levelⅡhospitals.Conclusion MSIs are the most common diseases among peacekeepers in the western theater command of United Nations Mission in South Sudan,according to the types of MSIs and the characteristics of diagnosis and treatments,corresponding preventive drugs and medical devices should be fully prepared,and the treatment and evacuation plan for sudden and critical diseases should be prepared.

关 键 词：肌肉骨骼疾病 维和人员 联合国南苏丹特派团 一级医院 二级医院 

分 类 号：R195.4[医药卫生—卫生统计学]