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目的了解深圳市南山区伤害住院病例的损伤部位及费用变化。方法采取整群抽样的方法,抽取南山区某综合医院2009-2011年伤害住院病例病案,进行损伤部位、平均住院天数、平均住院费用等的分析。结果 2009-2011年共有伤害住院病例9 927例,伤害损伤部位前3位依次为上肢(25.47%)、下肢(20.86%)、头部(18.13%)。不同年份伤害住院病例伤害部位分布差异有统计学意义(χ2=96.620,P<0.05)。3年间伤害住院病例人均住院费用平均增长速度为3.22%;日均住院费用平均增长速度为9.98%;平均住院天数平均下降速度为5.41%。不同年份伤害住院病例住院费用构成差异无统计学意义。药费平均下降速度为9.04%,治疗费平均增长速度17.38%,检验费平均增长速度6.82%。结论伤害给住院病例造成的直接经济负担呈上升趋势,除有效控制药费、治疗费、检查费等费用外,预防和减少伤害的发生是减轻伤害疾病负担的关键。
Objective To understand the injury site and expense changes of nosy injuries in Shenzhen city. Methods The method of cluster sampling was used to analyze the cases of injury and hospitalization in a general hospital of Nanshan from 2009 to 2011 and the analysis of the injury site, the average hospitalization days and the average hospitalization expenses. Results A total of 9 927 hospitalized cases were injured in 2009-2011. The top three injuries were followed by upper limb (25.47%), lower limb (20.86%) and head (18.13%). There were significant differences in the distribution of injuries in different years (χ2 = 96.620, P <0.05). The average growth rate of per capita hospitalization expenses in hospitalized cases was 3.22% in 3 years, average daily hospitalization expenses was 9.98%, and the average hospitalization days was 5.41%. Injury in different years inpatient hospitalization costs constitute no significant difference. The average rate of decline in drug costs was 9.04%, the average rate of treatment fees was 17.38%, and the average rate of test fees was 6.82%. Conclusions The direct economic burden of injury to hospitalized patients is on the rise. In addition to effectively controlling the costs of medicine, treatment and examinations, prevention and reduction of injuries are the keys to reducing the burden of injury diseases.