野战医疗队夏季野外驻训疾病谱及常用药物分析

Analysis of disease spectrum and drug consumption of field medical team in field training in summer

目的分析本院野战医疗队员夏季野外驻训常见疾病谱和用药,为野战医疗队参训驻训提供医疗药品保障依据。方法统计夏季驻训期间野战医疗队员就诊病例资料,分析疾病种类、构成比,统计药品消耗情况,计算药品使用指标,包括:药品日剂量数(daily drug dose,DDDs)、药品日剂量费用(daily drug dose cost,DDDc)、药物使用率(drug utilization rate,DUR)及药品排名比(drug ranking ratio,R)。结果我野战医疗队夏季野外驻训12 d,共有91人次、117例病例,男性44人、女性33人,平均年龄39.7岁,呼吸系统疾病52例、消化系统疾病21例、蚊虫叮咬和皮肤病18例、创伤及骨骼肌肉系统疾病15例、眼科疾病5例、神经系统疾病2例、妇科疾病2例、口腔疾病1例、中暑1例。DDDs和DUR前五的药物为呼吸系统药物、感觉器官药物和皮肤病用药、抗感染药物、胃肠道疾病用药和运动系统疾病药物。结论野战医疗队夏季野外驻训疾病构成和用药需求具有一定特点,掌握野外驻训疾病发病特点和药品消耗对野战医疗队驻训具有指导意义。

Objective To analyze the common disease spectrum and medication of fi eld medical team in our hospital in summer,and to provide medical and medicinal material supply for fi eld medical team.Methods The data of all cases of field medical team members during the training period were collected.The types and composition ratio of diseases were analyzed,the drug consumption was counted,and the drug use indicators were calculated including daily drug dose(DDDs),daily drug dose cost(DDDC),drug utilization rate(DUR)and drug ranking ratio(R).Results During the 12 days of the fi eld training in summer,77 fi eld medical team members had 91 medical visits and 117 cases of diseases,including 44 males and 33 females,with an average age of 39.7 years.There were 52 cases of respiratory diseases,21 cases of digestive diseases,18 cases of mosquito bites and skin diseases,15 cases of trauma and skeletal muscle system diseases,5 cases of ophthalmic diseases,2 cases of neurological diseases,2 cases of gynecological diseases,1 case of oral diseases and 1 case of heat stroke.The top fi ve drugs of DDDs and DUR were respiratory drugs,sensory organ drugs,dermatological drugs,antibiotic drugs,digestive system drugs and musculoskeletal system drugs.Conclusions The disease composition and drug demand of fi eld training in summer have certain characteristics.It is of great guiding signifi cance to know the characteristics of disease incidence and drug consumption of fi eld training for the medical support ability and training tasks for fi eld medical teams in fi eld training in summer.