摘要
目的探讨重庆市万州区（三峡移民库区）外部原因所致骨折病例的流行病学特点，指导人们防范、减少骨折意外的发生。方法根据万州区2009--2011年卫生统计网络直报出院病人调查表，利用Excel电子表格，筛选出院第一诊断为骨折的病例9035例，根据ICD．10疾病分类和损伤中毒外部原因编码情况，在卫生部卫生统计报表5个年龄分组基础上细分7个年龄组，对各年龄段人群骨折致伤原因、入院情况、性别比率、发病季节、病种分布、治疗效果、治疗费用等流行病学特点和临床治疗情况进行分析、总结。结果骨折男女之比1．85：1，急危重占98．80％；25～59岁人群最多，占53．02％；以下肢骨折最多，占40．03％；外部原因以意外跌伤最多，占60．04％；发病时间以1月份最多，占9．72％。结论骨折一般病情急；青壮年特别是男性是骨折预防的重点人群，儿童、老年人特别注意防范意外跌伤；骨折可通过多种措施加以防范、避免和减少。
Objective To explore the characteristics of the epidemiology of inpatients of fractures by external causes in Wanzhou District of Chongqing （Three Gorges Reservoir area） , and to guide people to prevent and reduce diseases of fractures. Methods According to the national disease report system of statistics between 2009-2010 of Wanzhou District, with the use of spreadsheet of Excel, 9035 cases of the first diagnose of inpatients of fractures were screened. According to the international clas- sification of diseases（ICD-10） and the external causes of injury and poisoning causes, these cases were divided into seven age groups according to the statement of five age groups of statistics of health ministry. The epidemiological characteristics and clinical treatments were analyzed and summed up which included the external causes, the situation of inpatients, ratio of sex, morbidity season, distribution of diseases, treatment effect and costs of each age group of fractures. Results Male to female ratio of frac- tures is 1.85 ： 1, the ratio of critically ill patients is 98.80%, the ratio of the age of between 25 and 59 years old is 53.02%, the ratio of the lower limb fractures is the Most with g0.03% ,the ratio of accidental falls is the Most with 60.04% ,the top ratio of the morbidity season is January with 9.72%. Conclusion Fracture usually is urgent. Young and middle-aged men are especially the attention of preventing fractures. Children and older people are especially the attention of preventing accidental falls, fractures can be prevented, avoided and reduced through a variety of measures.
出处
《中国医院统计》
2012年第4期261-264,共4页
Chinese Journal of Hospital Statistics
关键词
骨折
流行病学
外部原因
构成比
Fracture Epidemiology External reasons Constituting ratio
