11,977例损伤与中毒住院病例统计分析

A Statistical Analysis for 11,977 Cases of Injury and Poisoning

目的分析某院近5年因损伤中毒外因住院病例资料,了解损伤外因的趋势变化,为该病的预防和控制提供依据。方法以基于ICD-10编码的因损伤中毒外因住院的病例为研究对象,分析其分布、顺位和随时间的变化趋势。结果 11,977例次中男女性别比为3.21∶1,病例主要为汉族,年龄集中在18~45岁。损伤中毒外因前5位占总外因的67.6%,依次为跌倒（20.7%）、暴露于无生命机械性力量下（18.0%）、加害（11.4%）、骑摩托车人员在运输事故中的损伤（8.8%）和其他陆地运输事故（8.7%）。5年来跌倒的比例呈现上升趋势。结论社会应针对上述情况进行积极防范,以减少因损伤中毒等外因所导致的损失。

Objective By analyzing information from the hospitalized patients due to injury and poisoning in a hospital in the past five years,and understanding the changing trends for external causes of injury,then to provide the basis for the prevention and control of the disease.Methods The study object was for the hospitalized patients due to injury and poisoning in a hospital by based ICD-10 coding,their distribution,Overall and trends with time change were analyzed.Results Male to female ratio was 3.21：1 in 11,977 cases.Mainly population was Han Chinese,This was concentrated in ages 18 to 45-year-old.The top five external causes Account 67.6% of the total external causes.The top five external causes of injury and poisoning were successively falls（20.7%）,exposure to inanimate mechanical forces（18.0%）,the harm（11.4%）,persons riding a motorcycle accident damage in transport（8.8%） and other land transport accidents（8.7%）.The proportion of patients caused by the fall showed the ascendent trends in the past five years.Conclusions In order to reduce losses caused by external factors such as injury and poisoning,the active prevention in connection with the above situation should be carried out by the community.