【摘要】 目的 评估联合国南苏丹某战区维和人员肌肉骨骼疾病的类型和诊疗特点。 方法 回顾性分析2021年至2022年期间某国工兵营一级医院、某国步兵营一级医院、某战区一级医院和某国二级医院患有骨骼疾病患者的临床资料,调查并分析肌肉骨骼疾病的类型和诊疗过程。 结果 共接诊来自超过40个国家的374例患者，男性261例，女性113例，平均年龄为37.83岁。肌肉骨骼疾病主要致病机制为慢性退变性疾病（32.88%）、运动相关疾病（28.34%）和工作相关疾病（21.65%）。肌肉骨骼疾病发病部位主要为腰（20.32%）、膝关节（13.63%）和颈(12.8%）。一级医院主要的治疗主要为非甾体类抗炎药（44.86%），40%的患者转移至上级医院，而二级医院主要治疗为非甾体类抗炎药（26.68%）、康复理疗（24.87%）和石膏固定（16.93%）。联合国南苏团某战区维和人员肌肉骨骼疾病最常见为腰肌劳损，共有122例。 结论 肌肉骨骼疾病是联合国南苏丹特派团某战区维和人员最常见的疾病，应根据肌肉骨骼疾病类型和诊疗特点，充分准备相应的防治药物和医疗器械，并做好突发危重疾病的诊疗和后送预案。
Abstract
【Abstract】 Objective To estimate the types, diagnosis and treatment characteristics of Musculoskeletal injuries (MSIs) of the U.N. peacekeepers in the U.N. Mission in South Sudan (UNMISS). Methods To retrospectively analyse the clinical data of patients with MSIs in a national engineering battalion level 1 hospital, a national infantry battalion level 1 hospital, level 1 hospital of a Sector and a national level 2 hospital between 2021 and 2022, and to investigate and analyse the types and treatment process of MSIs. Results A total of 374 patients from more than 40 countries were treated, including 261 males and 113 females, with an average age of 37.83 years. The main pathogenic mechanisms of musculoskeletal injuries are chronic and degenerative diseases (32.88%), sports-related diseases (28.34%) and work-related diseases (21.65%). The sites of musculoskeletal injuries were mainly concentrated in waist (20.32%), knee joint (13.63%) and neck (12.8%). Non-steroidal anti-inflammatory drugs (44.86%) were the main treatments in the level 1 hospitals, and 40% of the patients were transferred to the higher-level hospitals, while non-steroidal anti-inflammatory drugs (26.68%), rehabilitation physiotherapy (24.87%) and plaster fixation (16.93%) were the main treatments in the level 2 hospitals. The most common musculoskeletal injurie of the U.N. peacekeepers of the UNMISS was psoatic strain, with 122 cases. Conclusion MSIs are the most common diseases among peacekeepers in the theater of the UNMISS. According to the types of MSIs and the characteristics of diagnosis and treatment, corresponding preventive drugs and medical devices should be fully prepared, and the treatment and evacuation plan for sudden and critical diseases should be prepared.
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基金
CESC分化失调新机制：O-GlcNAc与磷酸化“阴阳”调控Sox9;软骨终板钙化新机制:葡萄糖通过O-GlcNAc糖基化调控NPPCs分化命运
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