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兰州市伤害住院患者分布趋势性分析
引用本文:高娟, 白亚娜, 胡晓斌, 程宁, 赵迟, 杨爱民. 兰州市伤害住院患者分布趋势性分析[J]. 中国公共卫生, 2012, 28(11): 1488-1490. DOI: 10.11847/zgggws2012-28-11-33
作者姓名:高娟  白亚娜  胡晓斌  程宁  赵迟  杨爱民
作者单位:1.兰州大学公共卫生学院流行病与卫生统计研究所, 甘肃兰州730000;2.兰州大学生殖健康与出生缺陷防治研究中心
摘    要:目的了解甘肃省兰州市伤害住院患者分布的趋势变化,为制定伤害的干预措施提供参考依据。方法对甘肃省兰州市整群抽取的2所省级综合医院1994—2008年收治的13 227例伤害住院患者的分布状况进行趋势性分析。结果1994—2008年兰州市13 227例伤害住院患者中男性占73.92%,女性占26.08%,差异有统计学意义(χ2=70.610,P=0.000);男性伤害住院患者所占比例与年份呈正相关(rs=0.649,P=0.009),平均增长速度为1.00%;女性伤害住院患者所占比例与年份呈负相关(rs=-0.649,P=0.009),平均下降速度为2.21%;0~14、15~24、25~44、45~64和≥65岁年龄组分别占13.44%、17.59%、44.02%、18.65%和6.30%,不同年龄组伤害住院患者所占比例差异有统计学意义(χ2=176.632,P=0.000);45~64和≥65岁年龄组伤害住院患者所占比例均与年份呈正相关(P<0.01),平均增长速度分别为1.85%和4.71%;15~24和25~44岁年龄组伤害住院患者所占比例均与年份呈负相关(P<0.05),平均下降速度分别为2.37%和0.72%;交通事故、意外跌落、暴力事件、自然环境和其他伤害分别占30.82%、28.07%、16.19%、13.84%和11.08%,不同伤害类型伤害住院患者所占比例差异有统计学意义(χ2=1 096.079,P=0.000);不同伤害类型中,意外跌落住院患者所占比例与年份呈正相关(rs=0.804,P=0.000),平均增长速度为2.41%;暴力事件和自然环境因素住院患者所占比例均与年份呈负相关(P<0.01),平均下降速度分别为7.04%和3.88%。结论兰州市伤害住院患者以男性青壮年居多;老年人是伤害发生的高危群体;交通事故和意外跌落已成为伤害发生的两大主要原因。

关 键 词:伤害  住院患者  分布状况  趋势性分析
收稿时间:2010-12-17

Trend of hospitalization due to injury in Lanzhou city from 1994 to 2008
GAO Juan, BAI Ya-na, HU Xiao-bin, . Trend of hospitalization due to injury in Lanzhou city from 1994 to 2008[J]. Chinese Journal of Public Health, 2012, 28(11): 1488-1490. DOI: 10.11847/zgggws2012-28-11-33
Authors:GAO Juan  BAI Ya-na  HU Xiao-bin
Affiliation:1.Department of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu Province 730000, China
Abstract:ObjectiveTo provide scientific data for preventing and controlling injuries by exploring the trend of hospitalization due to injury.MethodsBy using cluster sampling method,medical records of 13 227 injury inpatients from 1994 to 2008 were collected in two general hospitals in Lanzhou city.ResultsAmong the injury inpatients, 73.92% were male and 26.08% were female with a significant difference(χ2=70.610,P=0.000).There was a linear positive correlation between the ratio of male inpatients and calender year(rs=0.649,P=0.009).The difference in age distribution of injury inpatients among different age groups was statistically significant with an increase trend for the inpatients of 45 to 64 years old and over 65 years old(rs=0.682,P=0.005;rs=0.793,P=0.000),with the average increase rates of 1.85% and 4.71% per year.There were decrese trends for the ratio of injury inpatients for the age groups of 15 to 24 and 25 to 44 years(rs=-0.571,P=0.026;rs=-0.643,P=0.010),with the average decent rates 2.37% and 0.72% per year.The ratios of traffic accidental injury and accidental fall injury increased.The average annual increase rate for accidental fall injury was 2.41%.The violence injury and environment accident had a negative correlation with the calender year with the average annual descent rates of 7.04% and 3.88%.ConclusionThe majority of injury inpatients is male youths.The old people is the vulnerable group and at high-risk of injury.Traffic accident and accidental fall are two main causes of jury hospitalization.
Keywords:injury  inpatient  distribution  trend analysis
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