新型冠状病毒肺炎疫情期间社区呼吸道疾病门诊量的减少及原因探讨

孙月星

摘 要 目的：分析新型冠状病毒肺炎疫情对社区一般急性呼吸道疾病患者就诊的影响。方法：通过上海市闵行区新虹社区卫生服务中心数据平台采集2018—2020年2月1日至4月30日期间因急性呼吸道疾病就诊患者的相关数据并进行统计、分析。结果：2020年新虹社区卫生服务中心急性呼吸道疾病就诊人数及就诊人次数均有显著下降。2020年2-4月，急性上呼吸道疾病就诊人数占新虹社区卫生服务中心同期就诊总人数的百分比由30.01%下降至18.86%，差异有统计学意义（P<0.01）。急性下呼吸道疾病就诊人次数占新虹社区卫生服务中心同期就诊总人次数的百分比由2.70%下降至1.07%，差异有统计学意义（P<0.01）。2020年新虹社區卫生服务中心急性呼吸道疾病患者的平均复诊率为1.30，去年同期的平均复诊率则为1.34，差异无统计学意义（P>0.01）。结论：新型冠状病毒肺炎疫情期间的针对性防护措施不仅能够有效预防疫情传播，同时也对常见呼吸系统疾病形成了遏制作用。医务人员应更加重视社区居民的健康宣教，提升居民的疾病防控意识，改善居民健康状况，促进社会和谐。

关键词 新型冠状病毒肺炎疫情期间；社区卫生服务中心；急性呼吸道疾病

中图分类号：R183.3 文献标志码：A 文章编号：1006-1533（2020）22-0006-03

Discussion of the decrease in the number of outpatient clinics for respiratory diseases in the community during COVID-19 epidemic and its reasons

SUN Yuexing（General Practice Department of Xinhong Community Health Service Center of Minhang District， Shanghai 201100， China）

ABSTRACT Objective： To analyze the impact of COVID-19 epidemic on the treatment visits of patients with general acute respiratory disease in the community. Methods： Relevant data of patients with acute respiratory diseases from February 1， 2018 to April 30， 2020 were collected through the data platform of Xinhong Community Health Service Center in Minhang District， Shanghai were collected and statistically analyzed. Results： The number of medical consultations and number of visits per person of patients with acute respiratory diseases in Xinhong Community Health Service Center decreased significantly in 2020. From February to April 2020， the number of patients with acute upper respiratory tract diseases in the total number of patients in Xinhong Community Health Service Center decreased from 30.01% to 18.86%， and the difference was statistically significant（P<0.01）. The number of acute lower respiratory tract visits as a percentage of the total number of visits to Xinhong Community Health Service Center during the same period decreased from 2.70% to 1.07%， and the difference was statistically significant（P<0.01）. In 2020， the average return rate of patients with acute respiratory diseases in Xinhong Community Health Service Center was 1.30， the average return rate in the same period last year was 1.34， and the difference was not statistically significant（P>0.01）. Conclusion： The targeted protective measures during the outbreak of COVID-19 can not only effectively prevent the spread of the outbreak， but also form a containment effect on common respiratory diseases. Medical staff should pay more attention to the health education of community residents， raise the awareness of disease prevention and control of residents， improve the health status of residents， and promote social harmony.