15074例住院创伤患者流行病学特征分析

发布时间：2018-06-23 02:57

本文选题：创伤 + 住院患者　；参考：《广西医科大学》2013年硕士论文

【摘要】：目的：创伤的高发病率、高致残率和过早病死率,使其一直被视为重要的公共卫生问题。通过调查分析我院住院创伤患者的流行病学特征,揭示本地区现阶段创伤的特点及变化规律,为提高本地区创伤的救治和防范水平提供客观、科学的依据。方法：回顾性分析2008-2011年我院收治的住院创伤患者的临床资料,对住院创伤患者的性别、年龄、职业、受伤时间、致伤部位、致伤原因、创伤严重程度、住院天数、住院费用等信息进行统计分析。结果：2008-2011年我院收治住院创伤患者16030例,排除伤后复诊、资料不完整、重复统计的病例后最终得到15074例。4年来创伤人数逐年增加,年平均增长速度3.79%；男性伤员多于女性,男女比2.60：1；年龄0至108岁,平均38.69±19.32岁,主要集中在20-49岁(59.38%)；农民是创伤的主要群体,占51.73%；7-10月伤员较多,2月伤员最少,8：00-9：59、12：00～13：59、18：00-19：59为每天创伤发生的三个高峰时段；首要致伤原因为交通事故伤(30.12%),其次为跌倒伤(25.76%)；常见致伤部位为四肢(47.07%)、头部(19.05%)；平均ISS评分13.78±7.79分,重症伤员占41.72%,死亡组ISS评分24.81±8.52分；平均住院时间14.66±17.98天；平均住院费用11309.09±17945.57元,年平均增长速度10.44%；交通事故伤中摩托车驾乘人员明显减少,而汽车驾乘人员显著增多。4年来,伤员性别构成、病死率、住院时间无明显变化,而伤员平均年龄增长,ISS评分升高,重症伤员比例增多,住院费用增长快速。结论：创伤患者逐年增加,以青壮年男性为主,农民是创伤的主要群体,7-10月伤员较多,每天创伤发生的高峰时段在8：00-9：59、12：00-13：59、18：00-19：59,交通伤为首要致伤原因,常见致伤部位是四肢、头部。创伤严重程度日趋加重,重症伤员比例增多,平均住院费用增长快速。加强道路交通安全宣传,消除生活、生产安全隐患。应用准确、简便、高效的院前、院内创伤评分方法,完善创伤救治规范,提高严重创伤患者的救治成功率。制定完备的创伤患者社会保障制度,维护创伤患者的权益。
[Abstract]:Objective: the high incidence of trauma, high disability rate and premature mortality make it an important public health problem. Through the investigation and analysis of the epidemiological characteristics of trauma patients in our hospital, this paper reveals the characteristics and changes of trauma in this area at present, and provides an objective and scientific basis for improving the level of treatment and prevention of trauma in this area. Methods: the clinical data of hospitalized trauma patients admitted to our hospital from 2008 to 2011 were analyzed retrospectively. The sex, age, occupation, time, location, cause, severity and length of hospitalization were analyzed. Hospital expenses and other information for statistical analysis. Results 16030 cases of hospitalized trauma patients were admitted to our hospital from 2008 to 2011, and the data were incomplete. After repeated statistics, 15074 cases were finally obtained. The number of trauma patients increased year by year, and the average annual growth rate was 3.79% in the past four years, the number of injured men was more than that of women. The ratio of male to female was 2.60: 1, the average age was 38.69 卤19.32 years old, mainly concentrated in the age of 20-49 (59.38%), peasants were the main group of trauma, accounting for 51.73%. In July and October, the number of wounded was the lowest: 8: 00-9: 5: 12: 00: 13: 59: 18: 19: 59 was the three peak hours of daily trauma, the first cause of injury was traffic accident (30.12%), the second was fall injury (25.76%), the most common injuries were limbs (47.07%) and head (19.05%). The average ISS score was 13.78 卤7.79, and that of the severely injured was 41.72. In the death group, the ISS score was 24.81 卤8.52; the average hospitalization time was 14.66 卤17.98 days; the average hospitalization cost was 11309.09 卤17945.57 yuan, and the annual average growth rate was 10.444.The motorbike drivers and riders in the traffic accident decreased obviously. In the past 4 years, the sex composition, mortality and hospitalization time of the injured patients had no significant change, while the average age of the injured patients increased, the proportion of the severe casualties increased, and the hospital expenses increased rapidly. Conclusion: the number of trauma patients increased year by year, mainly in young and middle-aged men, and the peasants were the main group of trauma patients in July and October. The peak time of daily trauma occurred in 8: 00-9: 512: 00-13: 591: 00-19: 59. Traffic injury was the first cause of injury. The common site of injury is the extremities, the head. The severity of the trauma is getting worse, the proportion of the seriously injured is increasing, and the average hospitalization cost is increasing rapidly. Strengthen road traffic safety publicity, eliminate life, production safety risks. An accurate, simple and efficient method of scoring trauma in hospital was used to improve the standard of treatment of trauma and to improve the success rate of treatment of severe trauma patients. Develop a complete social security system for trauma patients to protect the rights and interests of trauma patients.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R641

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