摘要
目的分析开放性损伤住院病例的流行病学特征,为制定损伤预防措施、医院优化应急预案、医保、工伤、保险参保、理赔、资金预算提供科学依据。方法对2019年1月-12月急诊住院的535例四肢开放性损伤患者的病例资料,依据《疾病和有关健康问题的国际统计分类》第十次修订本(ICD-10)分析流行病学特征。结果男443例,女92例,男性占82.80%,男女比例4.82∶1;无生命的机械力损伤(ICD-10/W20-W49)是主要的损伤原因;损伤部位的前两位男女相同,依次是手和腕部(ICD-10/S60-S69),踝和足部(ICD-10/S90-S99);上午10时(10.28%)和下午17时(9.53%)是损伤发生的高峰时段;夏季的7月(11.40%)、8月(11.59%)是损伤发生的高峰月份。结论男性是损伤预防的主要人群;机械力损伤是需要重点防范的伤害类型;损伤有时间和季节特点;劳动者应加强职业防护,企业应采取针对性的措施;医院优化应急救治预案。
Objective To study the epidemiological characteristics of inpatients with open wound.Methods A total of 535 cases with open wound in limb were analyzed,which were emergency admission into hospital in 2019.Refering to The International Classification of Diseases(ICD-10),the clinical data were retrospectively analyzed.Results The number of male cases was significantly higher than that of female.Injuries to the wrist and hand(S60-S69),injuries to the ankle and foot(S90-S99)were two main injury parts.The incidence rates were 76.26%and 11.96%respectively.10:00 AM(10.28%)and 5:00 PM(9.53%)were the vulnerable time to be injuried.There were more injury cases in July and August.Conclusion Male are the main population to be prevented from injury.The inanimate mechanical forces accounted for the most eternal causes in open limb injury.There are time and season to follow.Targeted measures should be hereby made based on the epidemiological characteristics and local condition.
作者
李建衡
胡彤宇
LI Jianheng;HU Tongyu(Department of Hand and Foot Surgery,Bethune International Peace Hospital of PlA,Shijiazhuang,Hebei,050800,China)
出处
《实用手外科杂志》
2021年第1期68-71,共4页
Journal of Practical Hand Surgery
关键词
损伤
外部原因
流行病学特征
Injury
External causes
Epidemiological characteristics
