宁夏2006年伤害住院患者分布特征及疾病负担调查

发布时间：2018-02-14 02:07

本文关键词： 伤害住院患者分布特征疾病负担　出处：《宁夏医科大学》2009年硕士论文　论文类型：学位论文

【摘要】： 目的了解宁夏伤害住院患者的伤害分布特征和疾病负担,为伤害的预防控制提供理论依据。方法先采用分层随机抽样方法。按地理位置将宁夏分为4个地区(银北、银川、银南和固原),在每个地区所有县级以上综合性医院中随机抽取1家市级医院、1家县级医院,银川地区在此基础上,再在其独有的区级医院中随机抽取一所,共计抽取9家医院。再采用系统抽样方法,分别对每所医院所摘录的病案按病案号排序后各抽取出50%的出院日期为2006年1月1日至2006年12月31日,并据《ICD-10损伤与中毒外部原因分类》诊断明确的伤害住院病例共5906例作为研究对象。结果1.伤害患者中以文化程度较低者所占比例较大;被调查者中男性多于女性(2.59:1),但自杀/自残者女性多于男性(1.26:1);15～岁组和35～岁组人数合计占总伤害患者的76.90%;伤害原因位于前三位的是交通事故(40.30%)、他人加害(18.46%)和跌倒/坠落(17.52%);60～岁组第一位伤害原因是跌倒/坠落(38.74%);烧烫伤患者占0～岁组人数的23.66%;职业位于前三位的分别是农民(45.95%)、工人(21.39%)和学生(11.56%)。城乡比为1:1.31;死亡47例,其中因交通事故死亡占53.19%,头部受伤占51.06%。2.经济损失次均7436.18元,总经济损失4391.81万元。次均经济损失位于前三位的分别是烧烫伤、自杀/自残和交通事故。银北地区、下肢伤、肌肉和肌腱损伤、住院天数和医疗费用5个因素对住院期间主要经济损失有影响,OR值分别为1.763、2.001、16.760、1.092和1.003。平均每位死亡患者潜在寿命损失为38.30年,潜在工作损失30.00年、潜在经济损失353520.00元,潜在价值损失39.66年。结论宁夏伤害住院患者的分布特征明确,疾病负担严重,应尽早采取措施进行预防和控制。
[Abstract]:Objective to understand the characteristics of injury distribution and disease burden of hospitalized patients in Ningxia, and to provide theoretical basis for prevention and control of injury. Methods the method of stratified random sampling was used to divide Ningxia into 4 regions (Yinbei, Yinchuan) according to their geographical location. In Yinnan and Guyuan Yuan, one city hospital and one county level hospital were randomly selected from all general hospitals at and above the county level in each region. On this basis, one hospital was randomly selected from its unique district hospital in Yinchuan. A total of 9 hospitals were selected. Then, by systematic sampling, 50% medical records were extracted from each hospital from January 1st 2006 to December 31st 2006. According to the classification of external causes of ICD-10 injury and poisoning, a total of 5906 injuries were diagnosed as inpatients. Results 1.The proportion of the injured patients with lower education level was higher than that of the patients with lower education level. Men were more than women 2.59: 1, but women who committed suicide / self-disability accounted for 76.90% of the total number of injured patients. The total number of persons aged 15 to 35 accounted for 76.90% of the total injuries caused by traffic accidents (40.30%) and falls / falls / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall / fall. The first cause of injury in the 60-year-old group was fall / fall 38.74; burn patients accounted for 23.66% of the 0-year-old group; the first three occupations were peasants 45.9595 and workers 21.399.The ratio between urban and rural areas was 1: 1.31; the death rate was 47 cases. Of these, 53.19 were killed in traffic accidents, 51.06.2. the economic losses averaged 7436.18 yuan, and the total economic losses were forty-three million nine hundred and eighteen thousand and one hundred yuan. The average economic losses in the first three places were burning and scalding, suicide / self-mutilation, and traffic accidents, respectively. In Yinbei area, the lower limbs were injured. The OR values of muscle and tendon injury, length of stay in hospital and medical cost were 1.763t 2.001g 16.7601,1.092 and 1.003.The average potential life loss per dead patient was 38.30 years, and the potential job loss was 30.0 years. The potential economic loss is 353520.00 yuan and the potential value loss is 39.66 years. Conclusion the distribution characteristics of the inpatients with injury in Ningxia are clear and the burden of disease is serious. Measures should be taken to prevent and control it as soon as possible.
【学位授予单位】：宁夏医科大学
【学位级别】：硕士
【学位授予年份】：2009
【分类号】：R181.3

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