亚运会和亚残运会运动员医疗实践比较分析

Analysis of medical practice for athletes in Asian Olympic Games and Paralympics Games

目的通过对2010年亚运会和亚残运会亚运城医疗门诊部运动员的就诊病例进行对比分析，分析大型运动会中健全运动员与残疾人运动员的病例特点，提出相应的医疗保障方案。方法使用医疗信息统计表（MEF）采集亚运会和亚残运会期间就诊运动员的病例数据，进行对比分析。结果亚运会期间，亚运城医疗门诊部接诊运动员的前四位疾病依次是损伤性疾病（60．9％）、口腔科疾病（8．4％）、呼吸系统疾病（8．3％）、耳鼻喉科疾病（5．1％）；亚残运会依次是损伤性疾病（61．6％）、呼吸系统疾病（9．2％）、口腔科疾病（7．9％）、耳鼻喉科疾病（3．1％）。结论大型运动会运动员的就诊趋势有典型的时间聚集性，一般集中在开赛前4天至运动会比赛期间，其中残疾人运动会运动员的接诊高峰较亚运会提前。运动员发生损伤性疾病的比例远高于其他疾病，对运动医学的康复治疗和外科损伤的治疗需求量大，医疗门诊部应重点配备充足的运动医学康复治疗师和医生，以及外科和急救医生。

Objective To conduct a comparing analysis on the out-patient cases collected during the Asian Olympic games and Paralympics Games and identify their characteristics and create more suitable medical care programs. Methods Tile data was collected by adopting the Medical Encounter Form （MEF） which was created by Asian Olympic committee, and was processed. Results The following diseases were found during the Asian Olympic Games： Injury （60.9%）, dental （8.4%）, respiratory （8.3%）, and ear-nose-throat （5.1%）; while during the Paralympics games were injury （61.6%）, respiratory （9.2%）, dental （7.9%）, and ear-nose-throat （3.1%）. Conclusion It reflects that most hospital visits are occurred a few days before and during the games with a feature of majority of injury than other types of disease, which largely demands rehabilitation and trauma treatment.