發(fā)布時(shí)間：2018-06-23 02:57

  本文選題：創(chuàng)傷 + 住院患者　； 參考：《廣西醫(yī)科大學(xué)》2013年碩士論文

【摘要】：目的：創(chuàng)傷的高發(fā)病率、高致殘率和過(guò)早病死率,使其一直被視為重要的公共衛(wèi)生問(wèn)題。通過(guò)調(diào)查分析我院住院創(chuàng)傷患者的流行病學(xué)特征,揭示本地區(qū)現(xiàn)階段創(chuàng)傷的特點(diǎn)及變化規(guī)律,為提高本地區(qū)創(chuàng)傷的救治和防范水平提供客觀、科學(xué)的依據(jù)。 方法：回顧性分析2008-2011年我院收治的住院創(chuàng)傷患者的臨床資料,對(duì)住院創(chuàng)傷患者的性別、年齡、職業(yè)、受傷時(shí)間、致傷部位、致傷原因、創(chuàng)傷嚴(yán)重程度、住院天數(shù)、住院費(fèi)用等信息進(jìn)行統(tǒng)計(jì)分析。 結(jié)果：2008-2011年我院收治住院創(chuàng)傷患者16030例,排除傷后復(fù)診、資料不完整、重復(fù)統(tǒng)計(jì)的病例后最終得到15074例。4年來(lái)創(chuàng)傷人數(shù)逐年增加,年平均增長(zhǎng)速度3.79%；男性傷員多于女性,男女比2.60：1；年齡0至108歲,平均38.69±19.32歲,主要集中在20-49歲(59.38%)；農(nóng)民是創(chuàng)傷的主要群體,占51.73%；7-10月傷員較多,2月傷員最少,8：00-9：59、12：00～13：59、18：00-19：59為每天創(chuàng)傷發(fā)生的三個(gè)高峰時(shí)段；首要致傷原因?yàn)榻煌ㄊ鹿蕚?30.12%),其次為跌倒傷(25.76%)；常見(jiàn)致傷部位為四肢(47.07%)、頭部(19.05%)；平均ISS評(píng)分13.78±7.79分,重癥傷員占41.72%,死亡組ISS評(píng)分24.81±8.52分；平均住院時(shí)間14.66±17.98天；平均住院費(fèi)用11309.09±17945.57元,年平均增長(zhǎng)速度10.44%；交通事故傷中摩托車(chē)駕乘人員明顯減少,而汽車(chē)駕乘人員顯著增多。4年來(lái),傷員性別構(gòu)成、病死率、住院時(shí)間無(wú)明顯變化,而傷員平均年齡增長(zhǎng),ISS評(píng)分升高,重癥傷員比例增多,住院費(fèi)用增長(zhǎng)快速。 結(jié)論：創(chuàng)傷患者逐年增加,以青壯年男性為主,農(nóng)民是創(chuàng)傷的主要群體,7-10月傷員較多,每天創(chuàng)傷發(fā)生的高峰時(shí)段在8：00-9：59、12：00-13：59、18：00-19：59,交通傷為首要致傷原因,常見(jiàn)致傷部位是四肢、頭部。創(chuàng)傷嚴(yán)重程度日趨加重,重癥傷員比例增多,平均住院費(fèi)用增長(zhǎng)快速。加強(qiáng)道路交通安全宣傳,消除生活、生產(chǎn)安全隱患。應(yīng)用準(zhǔn)確、簡(jiǎn)便、高效的院前、院內(nèi)創(chuàng)傷評(píng)分方法,完善創(chuàng)傷救治規(guī)范,提高嚴(yán)重創(chuàng)傷患者的救治成功率。制定完備的創(chuàng)傷患者社會(huì)保障制度,維護(hù)創(chuàng)傷患者的權(quán)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 鹵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 鹵7.79, and that of the severely injured was 41.72. In the death group, the ISS score was 24.81 鹵8.52; the average hospitalization time was 14.66 鹵17.98 days; the average hospitalization cost was 11309.09 鹵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.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類(lèi)號(hào)】：R641

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 江月蘭;;女排隊(duì)員扣球落地姿勢(shì)致使膝、踝關(guān)節(jié)運(yùn)動(dòng)創(chuàng)傷流行病學(xué)研究[J];首都體育學(xué)院學(xué)報(bào);2007年02期

2 白祥軍;恩巴;湯曼力;李思齊;高偉;陳安民;;創(chuàng)傷住院患者流行病學(xué)調(diào)查[J];創(chuàng)傷外科雜志;2006年06期

3 楊德民;郭偉;譚燕華;梁子敬;;5346例創(chuàng)傷院內(nèi)急救流行病學(xué)分析[J];創(chuàng)傷外科雜志;2007年04期

4 鐘代星;朱長(zhǎng)亮;趙亞超;韓勇;徐抴;朱以芳;程慶書(shū);;ISS在中青年胸部損傷評(píng)估中的價(jià)值[J];創(chuàng)傷外科雜志;2008年04期

5 楊冬泉;王振威;寇玉輝;安帥;王志永;彭建平;榮紹遠(yuǎn);張培訓(xùn);王天兵;姜保國(guó);;259例北京市道路交通事故死亡分析[J];創(chuàng)傷外科雜志;2012年03期

6 湯先釗;趙仲堂;楊占清;汪建民;田英軍;王洪亮;項(xiàng)繼舜;楊祖興;;武警官兵傷害流行病學(xué)特征及影響因素[J];第四軍醫(yī)大學(xué)學(xué)報(bào);2007年13期

7 冉崇福;姚一民;張聰;黃宗國(guó);何榮;檀臻煒;;AIS-ISS評(píng)分在維和醫(yī)療救援外傷病員傷情判定中的作用及意義[J];中國(guó)骨與關(guān)節(jié)損傷雜志;2012年04期

8 潘靜涵;蘇迅;;國(guó)內(nèi)外空運(yùn)救護(hù)的發(fā)展現(xiàn)狀及研究進(jìn)展[J];解放軍護(hù)理雜志;2012年07期

9 梁子敬,曾量波,黃力,李蓮芬,韓潔韻;廣州市中心城區(qū)院前創(chuàng)傷急救流行病學(xué)分析(英文)[J];中華急診醫(yī)學(xué)雜志;2005年11期

10 劉保池;裴輝;胡維信;康曉琴;;2004—2006鄭州市創(chuàng)傷流行病學(xué)分析[J];中華急診醫(yī)學(xué)雜志;2007年10期

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