颅脑伤害住院病例的流行病学特征研究

STUDY ON EPIDEMIOLOGICAL CHARACTERISTICS OF INPATIENTS WITH BRAIN INJURED

目的 :了解颅脑伤害住院病例的流行病学特征。方法 :采用整群抽样方法 ,以深圳市某医院 2 0 0 2年病案记录资料的 10 4 9例颅脑伤害住院患者为研究对象 ,对其流行病学特征进行调查。结果 :颅脑伤害占住院伤害比例为 30 .6 % ;男女性别比为 3.4∶ 1;伤害高峰的年龄段为 2 0～ 4 0岁 (6 6 .2 % ) ;暂住人口占绝大多数 (94 .0 % ) ,工人占的比重最大 (82 .8% ) ;颅脑伤害居前 3位的依次是 :脑震荡 ,脑挫裂伤和蛛网膜下、硬脑膜下、硬脑膜外出血。伤害原因以交通事故最多 (6 0 .7% ) ,且是重度伤害的首要原因。颅脑伤害住院死亡率为 4 .3%。结论 :普及和加强外来青工的安全教育 ,对降低深圳市颅脑伤害的发生非常重要。

Objective:To explore the epidemiological Characteristics of inpatients with brain injured..Methods:The research objects were 1049 hospital cases with brain injured with complete records during the period of December 2001 to 2002 in a Shenzhen hospital and were analyzed the characteristics of injuries.Results:The proportion of brain injuries in total injured inpatients was 30.6%;The sex ratio was 3.4/1;20～40 age group occupied 66.2%;The inhabitants with temporary cards accounted for 94.0%;and they Were far higher than inhabitants.The proportion of workers was 82.8% in all inpatients.Cerebral concussion,cerebral laceration,subarchnoid,subdural and extradual hemorrhage were the first three brain injuries.The accident of vehicle was the most important injured reasons.The death rate of brain-injured cases was 4.3%.Conclusion:We must pay more attention to the safe education and decrease the brain injuries in Shenzhen city.