中国农村及少数民族地区颅脑损伤的流行病学调查研究

Epidemlological Investigation of cranlocerbral injury

本文对全国21省(区)农村及少数民族地区人群中颅脑损伤的调查结果进行了描述和分析,246812名被调查者中颅脑损伤病人占1092例,患病率442.44/10万人口,发病率64.02/10万人口/年,死亡率9.72/10万人口/年。其患病率、发病率均远较国外及中国六城市居民调查结果为低,但死亡率则较高。男女患者之比为2.5:1,发病年龄高峰为25～50岁。致病原因以坠落伤为主,其次为跌伤及交通事故。受伤类型以脑震荡居多(74.5％),活愈率占91.7％。并与国内外文献进行了对比分析,提出了初步预防措施,供有关部门参考。

The epidemiologic investigation of head trauma was carried out in the population of rural and minority areas distributed over 21 provinces in china. There were 1092 patients sustained head iniruy among a sample population of 246, 812 individuals, yielding a prevalence rate 442.44 per 100,000 population; incidence rate 64.02. and mortality rate 9.72 per 100,000 population annually. Prevalence rate and inciednce rate lower than that in abroad or that of survey i n the urban population of six cities in china, but the mortality rate is higher, The proportion of male to female patients is 2.5:1. A peak incidence is between the ages of 25 and 50 years. The leading cause of head trauma is falls and the second cause traffic accident. Cases of cerebral concussion and contusion accounted for 74.5% and 24.3% respectively. The authors not only make a comparision between this study and others but also make suggestions of primary measure to prevent head trauma.