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目的了解住院患者伤害的流行特征以及相关经济负担,为伤害的预防与控制提供依据。方法以上海市嘉定区一家二级综合性医院为监测点医院,对2012年10月1日—2015年9月30日到监测点医院住院并且入院诊断含伤害诊断的首诊患者作为研究对象,描述其流行特征及费用情况,用圆分布分析其发病集中趋势。结果 1 808例住院伤害患者,男女性别比为2.35∶1,年龄构成以40~64岁年龄组为主(49.17%),前6位伤害原因为跌倒/坠落(47.68%)、机动车车祸(25.00%)、钝器伤(17.09%)、非机动车车祸(4.81%)、刀/锐器伤(4.31%)和烧烫伤(0.39%)。7月份为全年病例数最多的月份。骨折是所有病例的主要结局(72.16%),跌倒/坠落是65岁以上年龄组人群的主要伤害原因(71.71%),人均住院费用最高达17 788.12元,交通事故的主要受伤者为骑/乘电/助动车者。结论跌倒/坠落、交通事故为优先防治的伤害种类,应重视老年伤害的二级预防工作。
Objective To understand the epidemiological characteristics and the related economic burden of inpatients’ injuries and provide basis for the prevention and control of injuries. Methods A grade II general hospital in Jiading District of Shanghai was taken as the monitoring point hospital. From October 1, 2012 to September 30, 2015, the first hospitalized patients who were hospitalized at the monitoring sites and were diagnosed as having the injury in admission were selected as the research objects. Describe the characteristics and cost of its popular situation, using circular distribution analysis of the incidence of central tendency. Results A total of 1 808 inpatients were hospitalized and the sex ratio was 2.35:1. The age group was mainly composed of 40-64 age group (49.17%). The first 6 injuries were caused by fall / fall (47.68%), motor vehicle accident 25.00%), blunt injury (17.09%), non-motor vehicle accident (4.81%), knife / sharp injury (4.31%) and burns (0.39%). July is the year with the largest number of cases in the year. Fractures were the main outcome of all cases (72.16%). Fall / fall was the main cause of injury (71.71%) in the age group of over 65, and the per capita hospitalization cost was up to 17,788.12 yuan. The main casualties of traffic accidents were ride / Electricity / mover. Conclusions The fall / fall and traffic accident are the priority types of injury prevention and treatment. Secondary prevention of elderly injuries should be emphasized.