联合国驻黎巴嫩临时部队中国二级医院皮肤科就诊患者疾病谱及不同时段变化情况分析

Clinical analysis of the dermatosis spectrum and its variation among outpatients during different periods in a Chinese Level-ⅡHospital in the United Nations Interim Force in Lebanon

目的探讨联合国驻黎巴嫩临时部队(UNIFIL)中国二级医院皮肤科就诊患者皮肤病谱及不同时段的变化规律,为后续维和医疗分队皮肤专科训练、药品采购以及进一步的维和卫勤保障工作提供参考。方法查阅UNIFIL中国二级医院信息管理系统,收集2009年11月-2011年7月就诊患者的临床资料,分别计算皮肤专科门诊就诊人次占全院门诊就诊总人次的构成比以及前10位皮肤病各病种就诊人次占皮肤专科门诊就诊总人次的构成比,并分析不同时段上述指标的变化,采用SPSS软件χ2检验模块进行统计学分析。结果 7905人次门诊病例中,皮肤病专科门诊占8.2%(648/7905),其中时段A(2009年11月1日-2010年6月30日)、时段B(2010年7月1日-2011年2月28日)和时段C(2011年3月1日-2011年7月31日)专科门诊构成比分别为6.2%、6.8%、11.9%(χ2=66.37,P=0.000)。皮肤癣菌病(16.05%)、湿疹(10.65%)、疣(7.72%)、慢性单纯性苔藓(5.71%)等前10位的病种占皮肤病患者的54.17%。常见病多发病、感染性皮肤病、心身性皮肤病多见是其疾病谱的重要特征;不同时段皮肤病谱不同,时段A、B病种相对集中,时段C则相对分散(χ2=13.12,P=0.001)。结论 UNIFIL中国二级医院皮肤科就诊患者疾病谱以常见病多发病、感染性皮肤病、心身性皮肤病为主,不同时段有一定变动。

Objective To explore the dermatosis spectrum of outpatients and its variations during different periods in a Chinese Level-Ⅱ hospital among members of the United Nations Interim Force in Lebanon（UNIFIL）to provide a reference for dermatological training and pharmaceutical preparation for successive medical contingents,in order to improve medical support for future peacekeeping missions. Methods Data from outpatients from November 2009 to July 2011 were collected from the Chinese Level-Ⅱ Hospital Information Management System in UNIFIL. The constituent ratios of the visiting person-times at the dermatological special clinic to the total outpatient visiting person-times,as well as the constituent ratio of the incidence of each of the most frequent dermatosis to the total visiting person-times in the dermatological special clinic,were calculated.The change in the two indices mentioned above was analyzed during different periods.The data were statistically analyzed with a chisquare test using SPSS.Results Of the 7905 total outpatients,the constituent ratio of the dermatological special clinic was 8.2% （648/7905）. The patients in period A （from November 1, 2009 to June 30, 2010）, period B （from July 1, 2010 to February 28, 2011）,and period C（from March 1,2011 to July 31,2011） were 6.2%,6.8%,and 11.9%,respectively（χ2=66.37,P=0.000）.The ten most frequent dermatosis,including dermatophytosis（16.05%）,eczema（10.65%）,warts（7.72%）,lichen simplex chronicus（5.71%）, etc.,accounted for 54.17% of cases in the dermatologic special clinic.The important features of the disease spectrum showed that frequently encountered diseases,such as infectious skin diseases,and psychosomatic skin diseases were more likely to occur.The dermatosis spectrum varied during different periods.The occurrence of dermatoses was relatively concentrated during periods A and B,but was relatively dispersed in period C（χ2=13.12,P=0.001）.Conclusion The characteristics of the disease spectrum reveal that frequently encountered diseases,such as infectious skin diseases and psychosomatic skin diseases,are more likely to occur,and they vary during different periods in a UNIFIL Chinese Level-II Hospital.