重视慢性创面患者在新型冠状病毒肺炎疫情防控期间就医途中的暴露风险

Pay attention to the exposure risk of patients with chronic wounds on the way to hospital during coronavirus disease 2019 epidemic prevention and control

统计显示,6109例慢性创面患者中50岁以上患者占比达76.74%(4688例);50岁以上各年龄段慢性创面患者中,合并基础疾病的患者占比为78.25%~100.00%;在慢性创面患者合并的基础疾病中,占比排前4的疾病为糖尿病、心脑血管疾病、高血压和呼吸系统疾病。这些基础疾病以及患者的年龄都是国家卫生健康委员会公布的新型冠状病毒肺炎易感因素。慢性创面患者按医嘱赴医院治疗是一个不可回避的事实,同时因各种原因"舍近求远"赴医院治疗的患者不在少数。在疫情防控期间,这种"舍近求远"的就医方式有可能增加就医途中的暴露风险。为此,我们联合上海36家分布在不同区域的创面门诊,统一实施以鼓励慢性创面患者就近就医为目标的5项措施。本项行动秉持的原则是尽可能减少慢性创面患者就医交通路程,以降低疫情期间患者的暴露风险,力挺疫情防控攻坚战。

Statistics show that 76.74%(4688)of 6109 patients with chronic wounds are over 50 years of age;the proportion of patients with underlying diseases in all age groups above 50 years ranges from 78.25%to 100.00%.Among the underlying diseases of chronic wound patients,the top four diseases are diabetes mellitus,cardiovascular and cerebrovascular diseases,hypertension,and respiratory diseases.The above underlying diseases and ages of patients are the susceptibility factors of coronavirus disease 2019 released by National Health Commission of China.It is an unavoidable fact that the patients with chronic wounds have to go to the hospital for treatment prescribed by the physician.At the same time,we found that quite a few patients preferred going far afield in choosing hospital for treatment due to various reasons.During the prevention and control of coronavirus epidemic,this"go far afield"style of seeking medical treatment may increase the exposure risk during travelling.Accordingly,we convened 36 wound care clinics in different regions in Shanghai to implement the"Five Measures"encouraging the patients with chronic wounds to seek medical treatment nearby.The principle of this operation is that when seeking medical treatment,patients with chronic wounds should try their best to reduce the travel distance as much as possible to minimize the exposure risk during the epidemic period,which will in turn support the campaign of epidemic prevention and control.