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目的了解宁夏回族自治区伤害住院患者的经济损失情况及其影响因素,为伤害的预防控制提供理论依据。方法采用多阶段抽样方法对宁夏回族自治区银北、银川、银南和固原地区抽取的9家医院共5 906例伤害住院患者的经济损失情况进行回顾性分析。结果 2006年宁夏回族自治区伤害住院患者因伤害造成的总经济损失为4 082.43万元,其中直接经济损失3 811.74万元,占93.37%,间接经济损失270.68万元,占6.63%;人均直接经济损失、间接经济损失和总经济损失的中位数分别为2 388.66,314.78和2 772.26元;男性伤害住院患者的人均直接和间接经济损失中位数分别为2 424.89和322.85元,分别高于女性的2 303.66和293.80元(P<0.05);<15岁、15岁~、30岁~、45岁~和60岁~年龄组人均直接经济损失中位数分别为1 789.85,2 181.08,2 631.11,2 734.66和2 598.56元;间接经济损失分别为129.14,338.99,399.53,427.76和193.07元;不同年龄组人均直接、间接经济损失间差异均有统计学意义(P<0.001);多因素非条件Logistic回归分析结果表明,市区级医院、交通事故伤、跌倒/坠落伤、钝器伤、烧烫伤、下肢损伤、骨折、大血管损伤、中毒和伤后手术治疗是宁夏伤害住院患者经济损失的危险因素;学龄前儿童、学生和面部损伤是宁夏伤害住院患者经济损失的保护因素。结论医院级别、职业、伤害类型、伤害部位、伤害性质和治疗方式是宁夏回族自治区伤害住院患者经济损失的影响因素。
Objective To understand the economic loss of Ningxia Hui Autonomous Region inpatients with injuries and its influencing factors to provide a theoretical basis for the prevention and control of injuries. Methods A multi-stage sampling method was used to retrospectively analyze the economic loss of 5,906 injured inpatients from 9 hospitals in Yinbei, Yinchuan, Yinnan and Guyuan of Ningxia Hui Autonomous Region. Results In 2006, the total economic loss caused by injuries in inpatients in Ningxia Hui Autonomous Region was 40.8243 million yuan, of which direct economic loss was 38.1174 million yuan, accounting for 93.37%, indirect economic loss was 2.7068 million yuan, accounting for 6.63%; per capita direct economic loss , The median indirect economic loss and total economic loss were 2 388.66,314.78 and 2 772.26 yuan respectively; the median per capita direct and indirect economic losses of male inpatients were 2 424.89 and 322.85 yuan, respectively, higher than those of women 2 303.66 and 293.80 yuan respectively (P <0.05). The median direct economic losses per capita for children under 15, 15, 30, 45 and 60 were 1 789.85, 2 181.08 and 2 631.11 respectively, 2 734.66 and 2 598.56 yuan respectively; indirect economic loss was 129.14,338.99,399.53,427.76 and 193.07 yuan respectively; direct and indirect economic loss per capita in different age groups had significant difference (P <0.001); multivariate non-conditional Logistic Regression analysis showed that urban-level hospitals, traffic accidents injuries, falls / falls, blunt trauma, burns, lower extremity injuries, fractures, macrovascular injury, poisoning and postoperative wound surgery were the risk factors for Ningxia damaging the economic loss of inpatients Factors; pre-school children, students and facial injuries are protective factors Ningxia injury inpatients economic loss. Conclusion Hospital grade, occupation, type of injury, injury location, nature of injury and treatment are the influencing factors of economic loss in hospitalized patients in Ningxia Hui Autonomous Region.