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目的建立一种按照疾病负担程度进行归类的方法,以发现优先干预的伤害类型,为制定预防策略提供依据。方法采用SPSS 13.0软件,以南昌市2005年伤害流行病学调查资料为实例,对居民各类型伤害发生率、致残率、致死率、医疗费用、误工(误学)及功能受限情况等疾病负担指标进行聚类分析。结果将各类型伤害的按照疾病负担情况分为三大类:高疾病负担类包括跌伤和道路交通伤;中疾病负担类包括钝器伤、烧烫伤、下落物击中和他伤;低疾病负担类包括动物致伤、锐器伤、扭伤、雷电击伤、溺水、自伤、窒息、中毒和其他。结论聚类分析可以作为一种辅助方法,优先干预的伤害类型是高疾病负担类的跌伤和道路交通伤。
OBJECTIVE To establish a method to classify patients according to their disease burden so as to find out the type of injury with priority intervention and provide a basis for the development of prevention strategies. Methods The SPSS 13.0 software was used to analyze the epidemiological data of injuries in Nanchang city in 2005. The data of various types of injuries such as morbidity, morbidity, mortality, medical expenses, misjudgment and limited function of residents were collected. Burden index clustering analysis. Results The types of injuries were divided into three categories according to the disease burden: high burden of disease including fall injuries and road traffic injuries; middle burden of diseases including blunt trauma, burns, falling objects hit and his injuries; low disease Burden categories include animal injuries, sharp injuries, sprains, lightning injuries, drowning, self-injury, suffocation, poisoning and others. Conclusions Cluster analysis can be used as an adjunct method. The types of injuries that preferentially intervene are falls and road traffic injuries caused by high burden of disease.