CAJ | 학술논문

目的通过对2008年北京奥运会的医疗数据进行统计分析,了解竞赛场馆、训练场馆、非竞赛场馆和特殊控制区的发病情况、疾病种类.方法对场馆的非注册人员、运动员、工作人员、媒体、其他和贵宾的发病率分析;按不同场馆划分,把心血管系统、口腔科、消化系统、耳鼻喉科、呼吸系统、外科、神经精神、物理损伤、泌尿生殖系统和皮肤烧伤的发病情况进行统计;对特定的场馆中的疾病谱和发病情况进行分析.结果 (1)2008年北京奥运会所有人员总发病数最高的是工作人员(44.83%),发病最低的是贵宾(4.76%).(2)不同场馆的疾病分布情况,经统计学分析显示不同场馆内人群所患疾病不同(χ2=2427.803,P<0.01).(3)在22 029例病人数中:竞赛场馆发病占36.08%,非竞赛场馆占50.66%,训练场馆占2.31%,特殊控制区占10.96%.发病情况高低与场馆内总人数多少有关.(4)在各个场馆疾病谱分析中,外科系统,包括颌面外科和骨科专科(创伤骨科),其发病情况均在前2位,故各场馆应配备外科医生,特别是颌面外科(曲棍球比赛)和创伤骨科医生.其中训练场馆的耳鼻喉科疾病发病人数占第1位,与占第2位的非竞赛场馆相比,χ2=74.859(P<0.01).说明训练场馆的耳鼻喉科疾病比非竞赛场馆发病高.特别控制区的呼吸系统疾病发病人数占第1位,与占第2位的竞赛场馆相比,χ2=123.708(P<0.01).说明特殊控制区的呼吸系统疾病比竞赛场馆发病高.结论人员种类不同发病情况不同,场馆工作人员发病率最高,患者主要集中于竞赛场馆和非竞赛场馆.另外外伤发生率高,各场馆应配备外科医生(颌面外科和创伤骨科),训练场馆应配备五官科医生,特殊控制区应多配备呼吸科医生,同时,各场馆应均衡配备消化科和口腔科医生.
목적 통과대2008년북경오운회적의료수거진행통계분석,료해경새장관、훈련장관、비경새장관화특수공제구적발병정황、질병충류.방법 대장관적비주책인원、운동원、공작인원、매체、기타화귀빈적발병솔분석;안불동장관화분,파심혈관계통、구강과、소화계통、이비후과、호흡계통、외과、신경정신、물리손상、비뇨생식계통화피부소상적발병정황진행통계;대특정적장관중적질병보화발병정황진행분석.결과 (1)2008년북경오운회소유인원총발병수최고적시공작인원(44.83%),발병최저적시귀빈(4.76%).(2)불동장관적질병분포정황,경통계학분석현시불동장관내인군소환질병불동(χ2=2427.803,P<0.01).(3)재22 029례병인수중:경새장관발병점36.08%,비경새장관점50.66%,훈련장관점2.31%,특수공제구점10.96%.발병정황고저여장관내총인수다소유관.(4)재각개장관질병보분석중,외과계통,포괄합면외과화골과전과(창상골과),기발병정황균재전2위,고각장관응배비외과의생,특별시합면외과(곡곤구비새)화창상골과의생.기중훈련장관적이비후과질병발병인수점제1위,여점제2위적비경새장관상비,χ2=74.859(P<0.01).설명훈련장관적이비후과질병비비경새장관발병고.특별공제구적호흡계통질병발병인수점제1위,여점제2위적경새장관상비,χ2=123.708(P<0.01).설명특수공제구적호흡계통질병비경새장관발병고.결론 인원충류불동발병정황불동,장관공작인원발병솔최고,환자주요집중우경새장관화비경새장관.령외외상발생솔고,각장관응배비외과의생(합면외과화창상골과),훈련장관응배비오관과의생,특수공제구응다배비호흡과의생,동시,각장관응균형배비소화과화구강과의생.
Objective To analyze the incidence and the variety of diseases at Olympic competition venues, non-competition venues and special control zones through the statistical analysis of medical data of Beijing 2008 Olympic Games.Methods The proportions of people contracting diseases among different groups, i.e. non-registered people, athletes, staff, media, VIPs and others were analyzed. At different venues the incidence proportions of diseases in cardiovascular system, stomatology, gastroenterolgy, ENT, respiratory system, surgery, neuropsychiatry, physical injury, genitourinary system and burns were calculated. And the disease spectrum and incidence proportions at specified venues were analyzed.Results (1) Among all groups of people involved in Beijing 2008 Olympic Games, the proportion of disease-contracting staff was the highest (44.83%) while that of VIPs the lowest (4.76%) so that the incidence proportions were different among different groups of people. (2) χ2=2427.803, (P<0.01)The statistical analysis of disease distribution indicates that people at different venues might contract different diseases. (3) The proportions of disease-contracting people at competition venues, non-competition venues, training venues and special control zones were 36.08%, 50.66%, 2.31% and 10.96% respectively, which was related to the number of people at a particular venue. (4) The incidence proportion of surgical diseases was quite high, especially maxillofacial and orthopedic diseases (orthopedic trauma) ranking as top 2 at all venues. Thus there should be surgeons at every venue, especially maxillofacial (for hockey) and orthopedic surgeons. At training venues, the number of people contracting E.N.T. diseases ranked No. 1, χ2=74.859 (P<0.01), compared with that of non-competition venues at No. 2. So the incidence proportion of ENT diseases was higher at training venues than at non-competition venues. The number of people contracting respiratory diseases was the largest in special control zones and the figure of competition venues ranked at No. 2, χ2=123.708 (P<0.01). Therefore the incidence proportion of respiratory diseases at special control zones was higher than that of competition venues.Conclusion The proportions of people contracting diseases were different among different groups of people and the staff ranked the first in this regard. People contracted different diseases at different venues so that the distribution of medical resources should cater to this situation. In case of such a large-scale international competition as the Olympic Games, the patients are mainly from competition venues and non-competition venues so these two places have the largest demand for medical staff. The incidence proportion of surgical diseases is quite high and it is important to have maxillofacial and orthopedic surgeons stationed at all the venues. The ophthalmological and ENT specialists are recommended at training venues and respiratory specialists at special control zones. Meanwhile, the gastroenterologic and stomatological specialists should be present at all venues.