1994～2003年深圳市骨科创伤住院病例调查分析

目的调查分析深圳骨科创伤流行病学的特点,为政府决策提供参考。方法按随机原则抽取1994～2003年深圳市各级各类医院中急性创伤住院病历35万份的20%,共抽取骨科创伤病历24606份。进行回顾性调查骨科创伤住院病例一般情况及创伤后的处理、恢复情况及伤害所致的经济损失情况等。结果深圳骨科创伤住院患者从1994年的126．46/10万增加到2003年的308．55/10万。男性占80%,年龄在10～40岁之间占77．58%；宝安区和龙岗区两个工业区占76．85%；在区级及以下医院就治的占71．86%：自费病例占67．89%,平均费用为6597．80元。结论深圳骨科创伤住院人数及发病率随经济增长而增加,患者逐年增多。以外来务工的年青男性为主,交通伤是第一位的原因,但救治力量有限,患者以自费为主。政府应以预防为主,加强教育,从经济、人口管理、卫生医疗上提高对骨科创伤的认识并积极采取措施。

A survey of orthopaedic trauma cases from 1994 to 2003 in Shenzhen

Objective To investigate the epidemiological data of hospitalized cases of orthopaedic trauma in Shenzhen,which can serve as valuable reference for the decision-making of the government.Methods About 350,000 cases of acute orthopaedic trauma were treated from 1994 to 2003 in all the hospitals in Shenzhen city.We selected a random sample of 20% of the total number,24,602 cases,to conduct a retrospective and epidemiological study on their hospital records.Results The incidence of orthopaedic trauma in Shenzhen increased from 126.46/100,000 in 1994 to 308.55/100,000 in 2003.80% of the patients were male and 77.58% of them were aged between 10 to 40 years old.76.85% of the cases occurred in the Bao-an and Long-gang,the two industrial districts,and 71.86% were treated in hospitals of district level or below rather than in hospitals of higher levels. Their average expenditure for hospital treatment was 6597.8 RMB and 67.89% of the patients paid their treatment bills by themselves.Conclusions Cases of orthopaedic trauma in Shenzhen increase with the economic devel- opment year by year.Most of the victims are young male workers and traffic is the primary cause.Most patients pay their medical bills by themselves with their limited financial resources.The government should pay more attention to the incidence of orthopaedic trauma and take measures to control and prevent an increasing occurrence of orthopaedic trauma among migrant young population in Shenzhen.