2424例伤害住院病例分析

An Analysis of 2424 Injury Inpatients

目的了解伤害住院病例的构成及其住院费用的分布情况,探讨伤害的预防控制措施和减少伤害的经济损失的途径。方法整群抽取某综合性医院2006年1月1日至2006年12月31日有完整病案记录,并据《ICD-10损伤与中毒外部原因分类》诊断明确的伤害住院病例2424例为研究对象。结果2424例伤害病例中男1781例(73.5%),女643例(26.5%),男女性别比2.78∶1。伤害类型居前三位的分别是交通事故931例(38.4%),其次是钝器伤478例(19.7%)和烧烫伤288例(11.9%)。不同性别、年龄、民族及不同伤害意图的伤害类型构成差异均有统计学意义,P<0.01。伤害意图分析中,意外伤害2186例(90.2%),自杀/自残64例(2.6%),暴力加害174例(7.2%)。自杀/自残以中毒者居多82.8%(53/64),暴力加害以钝器伤62.6%(109/174)和刀/锐器伤33.9%(59/174)者居多。各伤害类型的住院费用比较差异有统计学意义,交通事故所造成的住院费用比重最大。同一年龄组各伤害类型的次住院费用不同;交通事故、跌倒/坠落、钝器伤、烧烫伤、中毒和医疗并发症几种伤害类型,每种类型的年龄组间次住院费用比较差异有统计学意义。结论伤害给患者家庭和社会造成巨大经济负担,应及早针对不同群体频发的伤害类型加以重点防治。

Objective To investigate the consistence of injury cases and a corresponding distribution of hospital expenditure in Yinchuan City, and to provide a basis for developing prevention and control measures to reduce the injury economic losses in Yinchuan. Methods With cluster sampling method, 2424 inpatient injury cases were taken and analyzed from January 1, 2006 to December 31, 2006. Results In 2424 injury patients, the male accounted for 73.5 % and the female accounted 26.5 %. Male and female sex ratio was 2.78 ： 1. Cases of traffic accidents （38.4%） were 931, followed by 478 cases of blunt injury （19.7%） and 288 cases of bums （11.9% ） . The types of injury showed significant difference in different gender, different ages, different nationalities and different intention of harm constitutes . By analysis of intention to injury, accidental injuries cases were 2186 （90.2%） and suicide/self-inflicted Injuries cases were 64（2.6% ） and violence cases were 174 （7.2%）. The cost of hospitalization showed significantly different in different type of injuries. Conclusion Injury severely make lost to both health and economic to family and society in Yinchuan . Measures of prevention and control should be taken as soon as possible.