兰州市伤害死亡病例潜在寿命及经济损失分析

Analysis on both PYLL and PLE of dead cases by injury in Lanzhou city

目的了解伤害住院死亡病例的潜在减寿年数、直接经济负担及潜在经济损失的状况。方法采取整群抽样方法。抽取兰州市2所省级综合医院及1所急救中心1999～2001年的伤害住院病人病历，记录住院治疗的各种费用和相关信息。结果伤害住院死亡病例各病种人均潜在减寿年数依次为交通事故33．7年；意外跌落38．5年；自然环境38．3年；他杀30．3年，伤害导致的总人均潜在减寿年数35．5年。各年龄组人均潜在减寿年数0岁～组61．9年；16岁～组41．9年；40岁～组19．9年；60～70岁组4．9年。各年龄组人均经济损失0岁～组26万元，16岁～组18万元。40岁～组86．7万元，60～70岁组21万元。由于伤害造成的人均总经济损失为39万元。各伤害病种人均经济损失：交通事故14．6万元，意外跌落16．5万元，自然环境16．4万元，他杀13．1万元。伤害而导致16～60岁年龄组人群死亡，造成经济损失人均104．7万元。结论伤害给人群健康水平造成了极大地危害，并导致家庭和社会的巨大经济负担和经济损失。

Objective To study potential years of life lost（PYLL）, direct burden of economy and the potential lost of economy（PLE）of dead cases by injury in Lanzhou. Methods Two central hospitals and one center of emergency selected by stratification cluster sampling were surveyed for dead cases by injury from 1999 to 2001. Results PYLL of every dead case by injury were traffic accident 33.5 years. PYLL fall injury 38.5 years, environment accident 38.3 years, homicide 30.3 years, all injury 35.5 years. PYLL per age group were 61.9 years in under 16 years old group, 41.9 years in 16 to under 40 years old group, 19.9years in over 40 to under 60 years old group, 4.9 years in over 60 to 70 years old group. PLE per every age groups were two hundred sixty thousand yuan in under 16 years old group;one hundred eighty thousand yuan in over 16 to under 40 years old group;eight hundred sixty-seven thousand yuan in over 40 to under years old group;two hundred one thousand yuan in over 60 to under 70 years old group. All PLE per case was three hundred nine thousand yuan. All economic lost of every injury per case were 146 thousand yuan in traffic accident, 165 thousand yuan in fall injury; 164 thousand yuan in environment accident, 131 thousand yuan in homicide. Conclusion Injury can severely make lost of both health and economic in family and society.