中国全科医学Issue(33)：3961-3965,5.DOI:10.3969/j.issn.1007-9572.2014.33.015
15074例住院创伤患者流行病学特征调查分析
Analysis on the Epidemiological Characteristics of 15 074 Cases of Hospitalized Patients with Trauma
摘要
Abstract
Objective To investigate and analyze the epidemiological characteristics and change rules of hospitalized patients with trauma,to perfect trauma standardized treatment,and to improve the treatment success rate for patients with severe trauma. To provide the objective and scientific basis for trauma treatment and prevention level in the region. Methods The medi-cal records of 15 074 hospitalized patients with trauma who were admitted to the Fourth Affiliated Hospital of Guangxi Medical Uni-versity from 2008 to 2011 were analysed retrospectively,the gender,age,injury time,injury sites,injury cause and severity of injury were statistically analysed. Results The average annual growth rate of number of hospitalized patients with trauma was 3. 79% from 2008 to 2011. 188 cases died and the average fatality rate was 1. 25%. The age in years ranged from 0 to 108,with the average age of(38. 7 ± 19. 3)years old. Higher numbers of hospitalized patients with trauma were observed from July to Octo-ber,and lowest numbers of cases were observed in February. The trauma usually occurred in three peak periods:8:00 to 9:59,12:00 to 13:59,and 18:00 to 19:59. Limbs(7 095 / 15 074,47. 07% ),head(2 872 / 15 074,19. 05% )maxil-lofacial and neck(1 657 / 15 074,10. 99% )were the common injured sites. The leading cause of injury was traffic accident(4 541 / 15 074,30. 12% ),and followed by fall(3 883 / 15 074,25. 76% ). 3 015 patients were selected randomly by software, the average ISS score was(11. 5 ± 6. 9),the ISS score of survivors was(11. 3 ± 6. 8),and the ISS score of the death was(21. 2± 8. 7),there were significant differences in the ISS score between survivors and death(t = 18. 728,P < 0. 05). From 2008 to 2011,there was no significant difference in the gender composition and the fatality rate among different years(P > 0. 05). There were significant differences in the average age,the ISS score,and the proportion of patients whose ISS score ≥16 among differ-ent years(P < 0. 05). Conclusion Targeted measures for high risk population and high risk time period need to be taken to re-duce the incidence of trauma. Head trauma has a high mortality rate,and helmet can reduce the incidence of head trauma effec-tively for cyclists and motorcyclists. Traffic accidents are the main causes of trauma,it is advisible to strengthen the propaganda of road traffic safety. Traumatic severity is becoming more aggravated,the proportion of severe and critical cases is increasing. Using the accurate,simple,efficient trauma scoring methods in the pre - hospital and hospital stage,and improving the trauma stand-ardized treatment are expected to improve the treatment success rate for patients with severe trauma.关键词
创伤和损伤/住院患者/流行病学/损伤严重度评分Key words
Wounds and injuries/Inpatients/Epidemiology/Injury severity score分类
医药卫生引用本文复制引用
李兵,葛文汉,阮海林,杨家有,黄福文..15074例住院创伤患者流行病学特征调查分析[J].中国全科医学,2014,(33):3961-3965,5.基金项目
卫生部公益性行业科研专项资助（201002014）；广西科学研究与技术开发计划项目（桂科攻1355005-6）；广西卫生厅课题 （）
