瓜达尔中巴博爱医疗急救中心疾病情况分析
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摘要
目的分析巴基斯坦瓜达尔中巴博爱医疗急救中心就诊患者疾病分布情况,为当地居民和驻巴中资建设人员的疾病预防与防疫提供临床依据。方法回顾分析2017年9月至2018年3月中巴博爱医疗急救中心全部就诊病例。对中国和巴基斯坦患者分别进行疾病比例和主要疾病的排序分析,对当地接诊的主要流行病和传染病进行登记并统计分析。结果 6个月内共诊治963例患者。上呼吸道感染、感染性腹泻、急性胃炎、手指开放性伤口及足开放性创伤是接诊的主要常见病,分别占总病例的19.00%、9.97%、7.17%、6.54%和6.23%。中、巴方患者的疾病谱在感染性腹泻、急性胃炎、腰肌或胸肌劳损、眶内异物及偏头痛方面存在显著差异(P<0.01)。用药方面以抗感染药、呼吸系统药物、消化系统药物和解热镇痛药为主。结论对就诊患者疾病分布情况和用药频次的分析可为当地药品采购、医疗机构建设提供可靠参考,并可提醒中方建设人员做好相关疾病的预防和防疫。
Objective To analyze the distribution of disease from China and Pakistan Fraternity Emergency Care Center for supporting the prevention and vaccination of local citizens and Chinese construction workers in Gwadar,Pakistan.Methods Medical histories of patients in China and Pakistan Fraternity Emergency Care Center were collected from Sep.,2017 to Mar.,2018 and analyzed retrospectively.We logged,classified and made statistics of leading epidemic and infectious dieases,and counted the proportion of diseases and major diseases of Chinese and Pakistanis,respectively. Results Druing the 6 months,963 cases were treated.The main common diseases were upper respiratory infection,infectious diarrhea,acute gastritis,open wounds of fingers and open trauma of feet,which accounted for 19.00%,9.97%,7.17%,6.54%and6.23%of the total cases.There was a difference in the spectrum of diseases between Chinese and Pakistani patients on infectious diarrhea,acute gastritis,strain of psoas or pectoralis,intraorbital foreign body and cephalagra(P<0.01).Antimicrobial drugs,respiratory drugs,digestive system drugs and antipyretic analgesics were the mainly used medications in the emergency care center. Conclusions The analysis on the distribution of diseases and administration frequency can provide reliable reference for local drug purchasing and medical institution establishment,and can remind Chinese construction staff to do preventional and antiepidemic measures well.
Objective To analyze the distribution of disease from China and Pakistan Fraternity Emergency Care Center for supporting the prevention and vaccination of local citizens and Chinese construction workers in Gwadar,Pakistan.Methods Medical histories of patients in China and Pakistan Fraternity Emergency Care Center were collected from Sep.,2017 to Mar.,2018 and analyzed retrospectively.We logged,classified and made statistics of leading epidemic and infectious dieases,and counted the proportion of diseases and major diseases of Chinese and Pakistanis,respectively. Results Druing the 6 months,963 cases were treated.The main common diseases were upper respiratory infection,infectious diarrhea,acute gastritis,open wounds of fingers and open trauma of feet,which accounted for 19.00%,9.97%,7.17%,6.54%and6.23%of the total cases.There was a difference in the spectrum of diseases between Chinese and Pakistani patients on infectious diarrhea,acute gastritis,strain of psoas or pectoralis,intraorbital foreign body and cephalagra(P<0.01).Antimicrobial drugs,respiratory drugs,digestive system drugs and antipyretic analgesics were the mainly used medications in the emergency care center. Conclusions The analysis on the distribution of diseases and administration frequency can provide reliable reference for local drug purchasing and medical institution establishment,and can remind Chinese construction staff to do preventional and antiepidemic measures well.
引文
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[2] NAQVI S,BASHIR S,RUPARELIYA C,et al.Clinical spectrum of Chikungunya in Pakistan[J].Cureus,2017,9(7):e1430.
[3] WORLD HEALTH ORGANIZATION.Classificaton of diseases(ICD)[EB/OL].[2018-02-08].http://www.who.int/classifications/icd/icdonlineversions/en/.
[4]付留杰,刘元东,周光智,等.赴巴基斯坦医疗救援队诊治病人疾病谱分析研究[J].医学动物防制,2012,28(2):132-134.
[5] ZEESHAN N.Gwadar water crisis[EB/OL].(2018-02-14)[2018-03-10].http://pakobserver.net/gwadarwater-crisis.
[6] HEREKAR AD,HEREKAR AA,AHMAD A,et al.The burden of headache disorders in Pakistan:methodology of a population-basednationwidestudy, andquestionnaire validation[J].J Headache Pain,2013(14):73.
[7] UMER NJ,YASINZAI MI.Prevalence of malaria in human population of district Killa Saifullah,Baluchistan[J].Pure Appl Bio(PAB),2017,6(4):1335-1339.
[8] SALEEM MZ,ARSHAD A,QAYYUM M,et al.Changing trends in antibiogram and molecular analysis of quinolone resistant Salmonella typhi isolates in Pakistan[J].J Infect Dis Treat,2017,3(1):1-7.
[9] MALLHI TH,KHAN YH,KHAN AH,et al.Commentary:outbreak of Chikungunya in Pakistan[J].Front Public Health,2017,5:261-262.
[10] LAWRENCE P,ROZMUS C.Culturally sensitive care of the muslim patient[J].J Transcult Nurs,2001,12(3):228-233.