汶川地震中后期都江堰灾区疾病防治

Diseases investigation of Dujiangyan disaster area during the mid and late period of Wenchuan Earthquake

目的：对汶川大地震中后期灾区居民进行疾病调查及救援，探讨现代灾难救援的应对措施。方法：调查分析地震5—30d都江堰地区32300人的发病情况，回顾总结救援中遇到的问题。结果：地震中后期以上呼吸道感染、皮肤病、轻微创伤和消化系统疾病为主，上呼吸道感染发病率最高，皮肤病发病率明显上升，消化系统以腹泻为主。此次救灾对皮肤病准备不足，缺乏高血压、心脏病、糖尿病等常见病药物储备。结论：在大地震灾害中后期应充分准备上述4大类药物，同时储备一定常见慢性疾病药物。

Objective： To explore measures on disaster rescue in modem time through diseases investigation of disaster area and rescue experinece during the mid and late period of disaster. Methods： Investigated and statistically analyzed the incidence of diseases of 32 300 civilians in Dujiangyan disaster area during 5 - 30 days after Wenchuan Earthquake, retrospectively summrized the problems encountered during the medical rescue work. Results： During the mid and late period of Wenchuan Earthquake, the major diseases occurred were upper respiratory tract infection （ URI）, skin diseases, mild truama and digestive diseases. The highest incidence rate was infection of the upper respiratory tract. The rate of incidence of skin diseases rised obviously. Diarrhea was the major digestive diseases. Unprepared to the high incidence rate of skin diseases and the insufficient drug reserve for some chronic diseases such as hypertension, heart diseases and diabetes were challenges meeted during the medical rescue. Conclusion： Sufficient drug reserve for infection of the upper respiratory tract, skin diseases, mild truama and digestive diseases is very important to medical rescue for heavy earthquake. Morever, certain drug reserve for some common chronic diseases is also necessary.