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目的:观察四川汶川“5.12”地震都江堰灾区震后疾病谱的变化。方法:依据国际疾病分类法ICD-10,对四川都江堰灾区“5.12”地震发生后2周内与震后1年居民发病状况进行分类统计和比较分析。结果:震后2周内发病率居前5位的疾病为:呼吸系统疾病占35.7%,损伤和中毒疾病占22.8%,皮肤病和皮下组织疾病占16.8%,消化系统疾病占12.4%,肌肉骨骼和结缔组织病占3.2%。与震后1年相比,震后2周内发病构成比升高最明显的前3位疾病为:损伤和中毒疾病(增加20.1%)、皮肤病和皮下组织疾病(增加12.2%)、肌肉骨骼和结缔组织病(增加1.2%)。结论:地震发生后,应针对损伤和中毒疾病、皮肤病和皮下组织疾病、消化系统疾病、肌肉骨骼和结缔组织病等疾病以及季节性高发病组织优势医疗资源,迅速开展医疗救护。
Objective: To observe the changes of disease spectrum after earthquake in Dujiangyan disaster area of Wenchuan and May 12 earthquake in Sichuan Province. Methods: According to the International Classification of Diseases ICD-10, the incidence and incidence of residents within 1 week after earthquakes in Dujiangyan disaster area in Sichuan Province within 2 weeks after the earthquake occurred were statistically analyzed and compared. Results: The top 5 diseases occurred within 2 weeks after the earthquake were: respiratory diseases accounted for 35.7%, injuries and poisoned diseases accounted for 22.8%, dermatological and subcutaneous diseases accounted for 16.8%, digestive diseases accounted for 12.4%, muscle Bone and connective tissue disease accounted for 3.2%. Compared with 1 year after the earthquake, the top 3 diseases with the most significant increase in the disease incidence ratio within 2 weeks after the earthquake were injury and poisoning diseases (increased by 20.1%), skin diseases and subcutaneous diseases (increased by 12.2%), muscles Bone and connective tissue disease (1.2% increase). Conclusion: After the earthquake, medical rescue should be carried out promptly for the diseases such as damaging and poisoning diseases, dermatosis and subcutaneous tissue diseases, digestive diseases, musculoskeletal and connective tissue diseases and the superior medical resources of seasonal high incidence tissues.