2017-2021年河南省某三甲医院68589例损伤和中毒住院患者特征分析  

Characteristics of 68589 cases with injury and poisoning in an A-level tertiary hospital in Henan province,2017-2021

作　　者：隋美丽[1] 尚小平[1] 刘新奎[1] 吴亚娟 董一超 张超[1] 陈琦[1] 王炎 SUI Meili;SHANG Xiaoping;LIU Xinkui;WU Yajuan;DONG Yichao;ZHANG Chao;CHEN Qi;WANG Yan(Department of Medical Record Management,the First Afiliated Hospital of Zhengzhou University,Zhengzhou,Henan 450052,China)

机构地区：[1]郑州大学第一附属医院病案管理科,河南郑州450052

出　　处：《现代疾病预防控制》2023年第5期358-362,共5页MODERN DISEASE CONTROL AND PREVENTION

摘　　要：目的对河南省某三甲综合医院收治的损伤和中毒病例进行分析,旨在了解患者特征及发生规律,为预防和控制伤害的发生提供参考。方法通过医院信息系统提取2017-2021年主要诊断编码为S00~T98同时合并疾病和死亡的外因编码为V01~Y98的出院患者的病案首页信息,利用WPS Office和SPSS 21.0软件对数据进行整理和分析。结果共检索到68589例损伤、中毒患者,死亡269例,病死率为0.39%。不同年度的月份分布差异有统计学意义(χ^(2)=1483.51,P<0.05)。男性43875例,女性24714例,分别占63.97%和36.03%;最小2天,最大102岁,不同性别的年龄构成、职业构成差异均有统计学意义(χ^(2)分别为1608.45、1663.52,P均<0.05)。疾病分布前5位依次为头部损伤、手术和医疗的并发症、腹部下背腰椎和骨盆损伤、膝和小腿损伤、累及身体多个部位的损伤,共40801例,占59.49%。外因分布前5位依次为意外暴露于其他和未特指的因素下、跌倒、其他陆地运输事故、意图不确定的事件、暴露于无生命的机械力量下,共50773例,占74.02%。死因前3位依次为头部损伤、累及身体多个部位的损伤、主要为非药用物质的毒性效应,分别占54.28%、19.33%和5.20%。结论不同性别、年龄的各类损伤中毒发生有一定的规律,针对不同年龄和性别人群可通过加强监管及健康宣教等方式降低全人群损伤和中毒的发生率、致残率和病死率,从而提升居民人均期望寿命和生活质量。Objective To analyze the characteristics of injury and poisoning cases who admitted to an A-level tertiary general hospital in Henan province,understand the characteristics of injury and poisoning cases and the occurrence regularity of them,and provide scientific evidence for further control and prevention of the occurrence of accidental injuries.Methods The homepage data of medical records of all cases who were discharged from 2017 to 2021 with the main diagnostic codes of S00-T98 and the exogenous causes code of morbidity and mortality as V01-Y98 were extracted from the hospital information system,and the data were sorted and statistically analyzed by WPS Office and SPSS 21.0 software.Results There were a total of 68589 cases with injuries and poisoning,and 269 of them died,with a case fatality rate of 0.39%.The difference of monthly distribution was statistically significant(χ^(2)=1483.51,P<0.05).0f the total cases,43875 were male(63.97%),and 24714 were female(36.03%).The minimum and maximum age were 2 days old and 102 years old,respectively.The age and occupation compositions between male and female cases were statistically significant(χ^(2)1608.45,1663.52,respectively;all P<0.05).The top 5 diseases with a total of 40801 injury and poisoning cases accounting for 59.49%,included injuries to the head,complications of surgical and medical care,injuries to the abdomen,lower back,lumbar spine and pelvis,injuries to the knee and lower leg,injuries involving multiple body region in sequence.The top 5 exogenous causes with a total of 50773 injury and poisoning cases(74.02%)included accidental exposure to other and unspecified factors,falls,other land transport accidents,event of undetermined intent,and exposure to inanimate mechanical forces in sequence.The top three causes of death in the ranking were injuries to the head(54.28%),injuries involving multiple body regions(19.33%),toxic effects of non-medicinal substances(5.20%).Conclusions Injury and poisoning among cases with different sex and age have certain patt

关 键 词：损伤中毒 性别 年龄 外因 

分 类 号：R195[医药卫生—卫生统计学]