马里维和二级医院骨科疾病分布

Distribution of orthopaedic diseases in peacekeeping level II hospital in Mali

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。[方法] 选取第十批马里东战区维和二级医院2022 年9 月—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3 442 例，骨科疾病占13.3%。纳入本研究的326 例，男306 例，女20 例；年龄20~61 岁，平均（35.1±8.4） 岁。疾病类别，软组织损伤62.6%；劳损性腰痛13.8%；骨折11.4%；腱鞘滑囊疾病和腰椎间盘突出分别为4.6%、3.7%。患者类型及国别，维和军事人员占骨科患者首位（79.1%）；发病率前5 位的国家是约旦（13.7%）、埃及（13.0%）、斯里兰卡（10.3%）、中国（9.8%）、孟加拉国（9.4%）。就诊季节，发病主要集中在雨季和凉季，共80.1%；6、9 个月达到高峰。疾病发生部位，下肢141 例（40.6%）；腰部81 例（23.3%）；上肢79例（22.8%）；肩部26 例（7.5%）；头颈部13 例（3.8%）。[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。

Abstract:

[Objective] To grasp the characteristics of the spectrum distribution of orthopedic diseases in the peacekeeping level II hos-pital in the Eastern Theater of Mali. [Methods] The patients with orthopedic diseases who received treatment in the level II Hospital of the10th peacekeeping army in Mali East War Zone from September 2022 to August 2023 were selected as the research subjects. The distribu-tion of diseases by category, country and month was summarized by means of outpatient registration, outpatient cases and expert consulta-tion, and describing statistical analysis was conducted. [Results] A total of 3 442 patients were treated in 1 year, and orthopedic diseases ac-counted for 13.3%. A total of 326 persons were included in this study, including 306 males and 20 females, aged 20~61 years with a meanof (35.1±8.4) years. In term of disease category, soft tissue injury accounted for 62.6%, low back pain due to strain for 13.8%, fracture for11.4%, tendon sheath bursal disease for 4.6% and lumbar disc herniation for 3.7%. In term of patient identity, peacekeeping military per-sonnel accounted for the most orthopedic patients (79.1%), while the top five countries were Jordan (13.7%), Egypt (13.0%), Sri Lanka(10.3%), China (9.8%) and Bangladesh (9.4%). In term of season of patient visit, the orthopaedic diereses occurred mainly in rainy seasonand cool season, accounted for 80.1% of the total; with peaks in June and September. In term of disease location, 141 (40.6%) patients in-volved in the lower limbs, 81 (23.3%) in the waist, 79 (22.8%) in the upper extremity, 26 (7.5%) in the shoulder, 13 (3.8%) in the head andneck. [Conclusion] The main orthopedic diseases of peacekeepers in Mali are soft tissue injury, back strain pain and fracture, which in-volve mainly in Jordan, Egypt, Sri Lanka, China, Bangladesh and other countries with a large number of troops, with high incidence of thedisease in the rainy season, cool season and the rotation period of the troop-contributing countries