北京全科医生京蒙健康帮扶门急诊接诊及病房紧急会诊患者现况调查

Survey on Current Situation of Beijing General Practitioners' Inner Mongolia Health Assistance to Outpatient and Emergency Patients and Emergency Consultation Patients in Wards

目的:分析北京全科医生在京蒙健康帮扶门急诊接诊和病房紧急会诊患者情况。方法:选取2022年9月26日—12月26日北京全科医生在内蒙鄂伦春旗大杨树社区卫生服务中心和宜里中心卫生院接诊的全部门急诊患者及病房紧急会诊患者作为研究对象,对患者一般资料、就诊原因、诊后诊断、病房紧急会诊情况进行分析。结果:门急诊患者就诊原因前2位为慢性病(176人次)、常见临床症状就诊(147人次)。诊后诊断前2位为慢性病(381人次)、常见病(293人次)。315例患者中,高血压100例,就诊时平均收缩压为(146.11±24.29)mmHg,平均舒张压为(86.74±14.94)mmHg,其中<140/90 mmHg有36例,占全部就诊高血压患者的36%。2型糖尿病患者57例,就诊时空腹静脉血糖平均(8.90±2.29)mmol/L,<7.0 mmol/L有14例,占全部就诊2型糖尿病患者的23.73%。病房紧急会诊39例,会诊原因包括入院治疗后效果不佳的不稳定型心绞痛、慢性阻塞性肺部疾病伴严重肺部感染等。结论:为更好地完成京蒙健康帮扶任务,北京全科医生应具备良好的规范化慢性病管理水平及扎实的首诊能力。

Objective:To analyze the outpatient and emergency patients treated by Beijing general practitioner during the period of health assistance in Inner Mongolia Autonomous Region and the emergency consultation patients in the wards.Methods:All the outpatient and emergency patients and the emergency consultation patients in the wards who were treated by Beijing general practitioner in Dayangshu Community Health Service Center and Yili Central Health Center in Oroqen Autonomous Banner of Inner Mongolia Autonomous Region from September 26,2022 to December 26,2022 were selected as the study subjects.The patient's general information,reasons for visit,post-visit diagnosis,and emergency consultation in the ward were analyzed.Results:The top two reasons for visit by outpatient and emergency patients were chronic diseases(176 person-times)and common clinical symptoms(147 person-times).The top two post-visit diagnosis were chronic diseases(381 person-times)and common diseases(293 person-times).Among the 315 patients,100 cases had hypertension,with an average systolic blood pressure of(146.11±24.29)mmHg and an average diastolic blood pressure of(86.74±14.94)mmHg,of which 36 cases had blood pressure of<140/90 mmHg,accounting for 36%of all hypertensive patients.There were 57 patients with type 2 diabetes mellitus,and the average fasting venous blood glucose at the visits was(8.90±2.29)mmol/L,and 14 cases had blood glucose of<7.0 mmol/L,accounting for 23.73%of all patients with type 2 diabetes mellitus.There were 39 cases receiving emergency consultations in the wards,the reasons for the consultation included unstable angina pectoris with poor effect after admission treatment,chronic obstructive pulmonary disease with severe lung infection,and others.Conclusion:In order to better complete the task of health assistance in Inner Mongolia Autonomous Region,Beijing general practitioners should have a good and standardized chronic disease management level and a solid ability of first diagnosis.