深圳市1994～2003年颅脑损伤住院病例流行病学特征分析

目的了解深圳市颅脑损伤住院病人流行病学特征及其规律,探讨防治措施。方法回顾性抽样调查深圳市1994～2003年颅脑损伤住院病例资料。结果等概率抽取39家医院创伤住院病历35万份中的7万份,60026份有效,颅脑损伤占10607份。主要年龄段20～40岁(63.56%);男女比2.79∶1.00;生产工人占(74.64%)。伤因车祸和打击伤各占(53.39%)、(18.67%),车祸时的交通工具主要为步行和摩托车。损伤地点为普通公路和公共场所。颅脑损伤病死率为4.26%。结论住院患者主要是40岁以下的男性工人,死亡率高,伤因主要为车祸和打击伤,多发生在普通公路和公共场所。加强交通安全教育和提高人员素质以降低颅脑损伤发病率和死亡率,减少对家庭和社会的危害。

Analysis of TBI inpatients epidemiologic characters between 1994 and 2003 in Shenzhen

[Objective] To investigate TBI inpatients epidemiologic characters and distribution within 10 years in Shenzhen and explore some preventive measures. [Methods] Inpatients datum were sampled between 1994 and 2003, then its epidemiologic characters were analyzed. [Results] Among 39 hospitals, 70 thousand were sampled from 350 thousand, 10 607 attributed to TBI from available 60 026. The peak victims age is 20~40 (63.56%) years old and the male verse female is 2.79. The workers occupied 74.64%. The walking and motor were mainly causes. The incident spots were general roads and public. All the victims mortality rate is 4.26%. [Conclusion] Younge male workers under 40 were dominantly group. Traffic incidents and strikes were mainly causes. TBI were usually very severe and its mortality was high. Accident spots were general road and public. Measures should be taken to decrease these accidents.