中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
3期
321-323
,共3页
张俊才%江朝光%阳盛洪%王引虎%杨海军%王宏运%金晶%王传荣
張俊纔%江朝光%暘盛洪%王引虎%楊海軍%王宏運%金晶%王傳榮
장준재%강조광%양성홍%왕인호%양해군%왕굉운%금정%왕전영
高原%农牧民%健康状况%卫生服务
高原%農牧民%健康狀況%衛生服務
고원%농목민%건강상황%위생복무
High altitude%Herdsmen%Health status%Health service
目的 了解和掌握海拔3700～4300 m赛图拉和康西瓦边境地区世居农牧民的健康状况和卫生服务情况,为提高高原边境地区农牧民医疗卫生服务质量和优化配置卫生资源提供科学依据.方法 采用分层整群抽样方法,对世居昆仑山赛图拉和康西瓦地区51户柯尔克孜族农牧民进行家庭健康询问调查及辅助检查等方式对每个农牧民进行健康评价和疾病诊断.结果 高海拔边境地区世居农牧民常见疾病为牙周炎、维生素缺乏症、高原衰退症、妇科疾病等；高原边境农牧民2周内就诊率和1年内住院率均低于同期全国农村水平；高原农牧民就医可及性差和收入低是农牧民得到卫生服务不足的主要原因.结论 高海拔边境地区世居农牧民的健康状况有待改善,优化当地卫生服务资源的配置,加强高原边境地区医疗卫生服务体系建设,提高农牧民家庭经济收入,农牧民卫生状况才能改善.
目的 瞭解和掌握海拔3700～4300 m賽圖拉和康西瓦邊境地區世居農牧民的健康狀況和衛生服務情況,為提高高原邊境地區農牧民醫療衛生服務質量和優化配置衛生資源提供科學依據.方法 採用分層整群抽樣方法,對世居昆崙山賽圖拉和康西瓦地區51戶柯爾剋孜族農牧民進行傢庭健康詢問調查及輔助檢查等方式對每箇農牧民進行健康評價和疾病診斷.結果 高海拔邊境地區世居農牧民常見疾病為牙週炎、維生素缺乏癥、高原衰退癥、婦科疾病等；高原邊境農牧民2週內就診率和1年內住院率均低于同期全國農村水平；高原農牧民就醫可及性差和收入低是農牧民得到衛生服務不足的主要原因.結論 高海拔邊境地區世居農牧民的健康狀況有待改善,優化噹地衛生服務資源的配置,加彊高原邊境地區醫療衛生服務體繫建設,提高農牧民傢庭經濟收入,農牧民衛生狀況纔能改善.
목적 료해화장악해발3700～4300 m새도랍화강서와변경지구세거농목민적건강상황화위생복무정황,위제고고원변경지구농목민의료위생복무질량화우화배치위생자원제공과학의거.방법 채용분층정군추양방법,대세거곤륜산새도랍화강서와지구51호가이극자족농목민진행가정건강순문조사급보조검사등방식대매개농목민진행건강평개화질병진단.결과 고해발변경지구세거농목민상견질병위아주염、유생소결핍증、고원쇠퇴증、부과질병등；고원변경농목민2주내취진솔화1년내주원솔균저우동기전국농촌수평；고원농목민취의가급성차화수입저시농목민득도위생복무불족적주요원인.결론 고해발변경지구세거농목민적건강상황유대개선,우화당지위생복무자원적배치,가강고원변경지구의료위생복무체계건설,제고농목민가정경제수입,농목민위생상황재능개선.
Objective To analyze health status and characters of health service demand and utilization among farmers and herdsmen in Kangxiwa and Saitula border areas from the altitude of 3700m to 4300m for offered scientific advices to the health management institutions for optimizing the allocation of health resources.Methods A total of 51 families in the Kangxiwa and Saitula areas in Karakorum-Kunlun Mountains were randomly chosen with stratified sampling method for the family health survey.Physical and biochemical examination were carried out for each herdsman.Results Among the participants,the most disease the two-week medical consultation rate was 1.74％.the hospitalization rate was 0.98％.The two-week medical consultation and hospitalization rate of herds were lower than the national and Xinjiang level for rural area.Herdsmen's doctor poor accessibility and low-income may be the main reasons for the underutilization of health services ;The difficult situation of herdsmen has been initially improved after participating in the new rural cooperative medical care.Conclusion The health status of native herdsmen in Kara Kunlun mountains was poor,and the provision of health services cannot meet the demand for health service of native herdsmen.It's necessary to improve efficiency of utilization of health service and optimize the allocation of health resources.
