马里维和二级医院骨科疾病谱分析

Analysis of orthopedic diseases spectrum of Mali Chinese level-II hospital

摘要:

［目的］ 对马里东战区维和二级医院接诊的骨科患者进行病例分析，掌握骨科疾病谱分布特点和成因。［方法］ 选取第十批马里东战区维和二级医院2022年9月至2023年8月就诊的骨科疾病患者为研究对象，通过门诊接诊登记、门诊病例及专家咨询等方式汇总其疾病类别、国家和月份的分布，进行统计分析。［结果］ 1年共接诊3442人次，骨科疾病占13.28%。纳入本研究的326人次，男性306人次，女性20人次；年龄20-61（35.09±8.38）岁。①疾病类别：软组织损伤62.58%；劳损性腰痛13.80%；骨折11.35%；腱鞘滑囊疾病和腰椎间盘突出分别为4.6%和3.68%。②维和军事人员占骨科患者首位（79.14%）；发病率前5位的国家是约旦（13.66%）、埃及（12.95%）、斯里兰卡（10.29%）、中国（9.80%）、孟加拉国（9.44%）。③发生时间按季节分主要集中在雨季和凉季，共80.06%；6月、9月达到高峰。④疾病发生部位：下肢 141 人次（40.63%）；腰部81人次（23.34%）；上肢 79人次（22.77%）；肩部26人次（7.49%）；头颈部13人次（3.75%）。［结论］马里维和人员骨科疾病类型主要为软组织损伤、劳损性腰痛和骨折，伤病员主要出现在约旦、埃及、斯里兰卡、中国、孟加拉国等出兵人数多的国家，雨季及凉季和各出兵国轮换期是疾病的高发期。建议配备专业全面的骨科人才和康复理疗师，以满足医疗保障需求。

Abstract:

Objective To analyze the reason and distribution of orthopedic patientsin Mali Chinese level-II hospital of the United Nations. Methods Statistical analysis was conducted on the data of orthopedic patients who were admitted to Chinese level-II hospitalfrom September 2022 to August 2023.Data of disease types,countries and time were summarized and analyzed by outpatient registration and expert consultation. [Results]A total of 3442 cases were received in one year, with orthopedic diseases accounting for 13.28% . There were 326 participants, 306 males and 20 females, aged 20-61(35.09 ± 8.38) years in the study. ①Disease category: softtissue injury 62.58% ; strain-induced low back pain 13.80% ; fracture 11.35% . ②The most number in orthopedic patients is military staff(79.14%)The top five countries were Jordan (13.66%) , Egypt (12.95%) , Sri Lanka (10.29%) , China (9.80%) and Bangladesh (9.44%) .③The occurrence time was mainly concentrated in rainy season and cool season (80.06%),and reached the peak in June and September.④The sites of the disease were lower limbs 141(40.63%) , waist 81(23.34%) , upper limbs 79(22.77%) , shoulder 26(7.49%) and head and neck 13(3.75%) . [Conclusion]The main types of orthopedic diseases of peacekeepers in Mali are soft tissue injury, low back pain and fracture.The patientsmainly occurred in Jordan, Egypt,Sri Lanka,China,Bangladesh and other countries with a large number of troops.The number of orthopedic diseases reach peak in rainy season,cool season and rotation period.It is suggested that professional and comprehensive orthopedic surgeons and rehabilitation physiotherapists is necessary tosatisfied the needs of medical security.