手外伤所致经济损失的流行病学研究

Epidemiological study of economic impact of hand injuries

目的 研究手外伤所致经济损失以及在不同类型手外伤中的分布。方法 对 1998年 1月在上海医科大学附属华山医院就诊的 16 0例急诊手外伤患者进行问卷调查 ,并在伤后 4周进行随访。结果 患者的平均年龄为 36 .3岁 ;2 0～ 5 0岁的青壮年占 6 3 .1% ;男女性别比为 2 .0 8∶1。工作时发生的手外伤占 36 .3 % ;6 2 .7%的患者月收入在 10 0 0元以下。手外伤所造成的人均经济损失为 1131.5元 ,其中生活性手外伤为 916 .6元 ,工作时手外伤为 15 0 9.3元。结论 手外伤可对个人和社会造成明显的经济损失。

Objective To conduct an epidemiological study on the economic impact of hand injuries and its distribution between hand injuries at work and at leisure. Methods 160 patients of acute hand injuries were investigated by questionnaire and were followedup four weeks afterwards.Results The patients were 36.3 years old in average, 67.5% of whom were male and 32.5% were female. 36.3% of hand injuries occurred at work. 62.7% of patients earned less than 1 000 yuan a month. The economic loss was 1 131.5 yuan per patient. The economic impact of hand injuries at leisure was 916.6 yuan per patient, and that at work 1 509.3 yuan.Conclusion Hand injuries induce much economic impact on individuals as well as on society. Occupational hand injuries have more economic loss than those at leisure.(Shanghai Med J, 2000,23∶404407)