武警某部2011—2014年新兵新训期门诊疾病谱分析

Analysis on the spectrum of outpatient diseases during new recruits enrollment training from 2011 to 2014 in one unit of PAP

目的对武警(Chinese People’s Armed Police Forces,PAP)某部2011—2014年新兵门诊疾病谱进行对比分析,以了解新训时间调整前后新兵疾病谱是否发生变化及如何变化,为进一步改进新兵训练卫勤保障工作提供依据与参考。方法对新训基地卫生所就诊的新兵按ICD-10进行疾病分类,不同年度间的比较采用χ2检验。采用Cochran-Armitage线性趋势检验分别进行各年呼吸系统、消化系统疾病及训练伤比例的趋势检验。结果新训时间调整后疾病谱发生了变化。2011年与2012年(均为冬春季兵)以呼吸系统疾病和训练伤为主,2013年与2014年(均为秋冬季兵)以呼吸系统疾病和消化系统疾病为主,但呼吸系统疾病及训练伤较2011、2012年有所下降。结论随着我国征兵制度的改革,新训时间调整前后门诊疾病谱发生了一些改变,相应卫勤保障工作也应加以调整。

Objective To analyze the spectrum of outpatient diseases among new recruits from 2011 to 2014 in one unit of Chinese People＇s Armed Police Force（PAP）, the results could be implemented as guidelines to improve health support during enrollment training. Methods Patients＇ diseases were categorized according to ICD-10; chi-square test was used to test the statistical significance between the years. Cochran-Armitage linear trend test was used to evaluate the yearly trend of the percentage of respiratory system＇s diseases, gastrointestinal system＇s diseases and military training injuries respectively. Results Changes in the enrollment training season affected the disease pattern. Main disease types in the year of 2011 and 2012（training season is from winter to spring） were diseases from respiratory system and military training injuries. And the main disease types in the year 2013 and 2014（training season is from fall to winter） were respiratory system＇s disease and gastrointestinal system＇s disease. However, compared with year 2011 and 2012, the respiratory system＇s disease and military training injuries declined. Conclusions Disease patterns have changed as the enrollment season changed, and the health service work should also be improved accordingly.