某部队医院2020-2022年骨科门诊军人病谱分析

Spectrum analysis of military personnel in orthopedic outpatient clinics

目的调查分析某部队医院骨科门诊军人的流行病学特点。方法通过某部队医院医疗信息管理系统获取2020-2022年骨科门诊就诊军人患者的资料数据,统计姓名、性别、年龄、军种、职别、门诊诊断,以及损伤部位、类型等,并分类统计分析。结果3年中骨科门诊共收治官兵17968人,占军人门诊总数的9.88%;其中因训练伤前来就诊的占骨科门诊军人总数的97.89%。不同年龄段、职别、军种中占比最高的分别为21~25岁(49.97%)、士官(53.63%)、陆军(50.85%);不同部位中下肢及腰背部损伤占比最高,分别为43.26%、37.63%;按损伤类型来分,慢性肌肉劳损(27.12%)、半月板/软骨损伤(13.47%)占比最高;根据时间分析,每年6-8月份就诊人数最多。结论就诊骨科门诊的军人较多,应进一步探究其特点及原因,并根据不同的情况,加强相应的预防策略。

Objective To investigate and analyze the epidemiological characteristics of soldiers in the orthopedic outpatient department of a military hospital.Methods The data of military patients attending orthopedic outpatient service during 2020-2022were obtained from the medical information management system of a military hospital.Name,gender,age,military branch,occupation,outpatient diagnosis,as well as the location and type of injury were collected,classified and statistically analyzed.Results A total of17968 soldiers were treated in the orthopedic outpatient department in 3 years,accounting for 9.88%of the total;among them,those who came to the clinic due to training injuries accounted for 97.89%of the total number of soldiers in the orthopedic outpatient clinic.Among different age,ranks and branches of the military,21-25 year-old(49.97%),non-commissioned officers(53.63%)and the army(50.85%)have a greater share than others.The injuries of middle and lower limbs and lower back accounted for 43.26%and 37.63%respectively.According to injury type,chronic muscle strain(27.12%),meniscus/cartilage injury(13.47%)accounted for the highest proportion.According to the time analysis,the number of medical visits from June to August each year were higher than other months.Conclusion There are more soldiers in orthopedic clinic,and the characteristics and reasons should be further explored.Appropriate preventive strategies should be strengthened accordingly.