蒙古義診所見之疾病分析－以島蘭巴托市與蘇赫巴托市爲對象

Characteristics of Patients Treated at a Temporary Medical Aid Facility in the Ulanbaatar and Suhbaatar Regions of Mongolia

陳潤秋(Ran-Chou Chen) ； 謝志民(Chih-Min Hsieh) ； 李熹昌(His-Chang Lee) ； 李明濱(Ming-Been Lee)

《北市醫學雜誌》 2卷1期 (2005/01) Pp. 54-60

https://doi.org/10.6200/TCMJ.2005.2.1.09

摘要

台北市立聯台醫院於民國2004年4月到蒙古國義診，共11天服務1061人次，年齡在4-91歲之問，其中有完整病例者有1056人，男性349人，女性707人。來診主訴為腹背痛有465位(44%)，心臟疼痛者有399位(37.7%)，頭痛者有195位(18.4%)，其他肌肉酸痛者有183位(17.3%)。義診後發現該地常見的疾病為高血壓39了位(37.5%)，肌纖維疼痛316位(29.8%)及肝膽疾病105位(9.9%),許多病患以腹痛或被當地診斷為膽、腎結石來診，但經義診檢查後，認為絕大部份並非肝膽腸胃疾病，而是肌纖維疼痛。20歲以上有完整的血壓紀錄者共994人，高血壓多發生在50歲以上，男性高血壓高於女性，年齡越高血壓值越高，兩者P值均＜0.05，是篇有意義的差別。蒙古地區高血壓在性別、年齡的分佈上與其他國家相似，但盛行率卻高於其他國家，對於該地高血壓的危險因子應進一步研究，並在醫學教育、公共衛生上努力，以期改善當地高血壓狀況。

關鍵字

蒙古 ； 高血壓 ； 疾病分析

並列摘要

A medical team from Taipei Municipal hospitals was dispatched to Mongolia in April 2004 to provide free medical service. A total of 1061 patients of widely ranging ages (4-91years) were treated. We report presently on 1056 of these patients (707 women and 349 men).The chief complains were abdominal and back discomfort (465 patients, 44% of 1056), cardiovascular maladies (399, 37.7%), headache (195, 8.4%) and muscle soreness (183, 17.3%). All patients received a physical examination and blood pressure measurement. Some patients additionally received abdominal sonography, electrocardiogram, blood analysis or urine analysis as required for diagnosis. After the examinations, the most common diagnoses were cardiovascular disease (397, 37.3%), myofascial pain (316, 29.8%) and hepatobiliary disease (105, 9.9%).A total of 994 adults aged 20 years or more were included in the blood pressure analysis. With advancing age, the prevalence of hypertension increased (p＜0.0001), predominantly in those over 50 years old and in men (p=0.0016). While the sex and age distribution of hypertension in Mongolia is similar to other countries including Taiwan, the prevalence of hypertension in Mongolia is higher than the other countries, for as-yet unknown reasons. (Full text in Chinese)

並列關鍵字

Mongola ； hypertension ； medicaldiagnasis