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创伤住院患者流行病学调查
http://www.100md.com 《创伤外科杂志》 2006年第6期
创伤;流行病学;临床病例,,创伤;流行病学;临床病例,1资料来源,2统计学处理,1基本情况统计,2疾病结局变化分析,3职业构成变化分析,4致伤因素变化分析,5年龄段比率
     摘要: 目的 对我院近年来2430例创伤住院患者流行病学进行调查,分析其变化规律。方法 抽取我院创伤外科1994、1998、2003年间2430例住院病人的临床资料,分析其疾病谱(性别、年龄、职业、致伤因素、治疗结局等)的变化。结果 伤员治愈率有所上升,死亡率有所下降(P<0.0001)。伤员人口学特征和致伤因素所占比例有所变化,无业人员构成比呈上升趋势,农民和建筑工人有下降趋势(P<0.0001);暴力因素致伤的伤员构成比呈上升趋势(P<0.01);而其他因素变化无显著性(P>0.05)。结论 在创伤救治中应重视创伤高危人群,针对性地采取预防和救治措施。

    关键词:创伤;流行病学;临床病例

    Epidemiology of trauma patients

    BAI Xiangjun,EN Ba,TANG Manli,et al.

    (Department of Traumatic Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and

    Technology,Wuhan 430030,China)

    Abstract: Objective To study the epidemiology of 2430 traumatic cases,and analyze its relative changes.Methods The clinical data of 2430 trauma patients were collected,the elements such as sex,age,the causes of injury were analyzed respectivly.Results The cure rate increased,and the mortality rate decreased(P<0.0001).The constituent ratio of the patients′vocation and causative factors of injury changed during the 10 years: the constituent ratio of jobless(P<0.0001) and patients injured by violence factor increased(P<0.01),and those of farmers and constructive workers descended(P<0.0001),other factors had no change.Conclusion More attention should be paid to population of high risk of trauma,and the preventative measures should be taken. ......

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