文章摘要
杜文聪,杨 婕,武 鸣,王晓飞,施 展.2011~2012年江苏省部分地区伤害综合监测结果及思考[J].南京医科大学学报,2015,(2):279~283
2011~2012年江苏省部分地区伤害综合监测结果及思考
Results and thinking of injury comprehensive surveillance work in some areas of Jiangsu Province form 2011 to 2012
投稿时间:2014-06-03  
DOI:10.7655/NYDXBNS20150234
中文关键词: 伤害  综合监测
英文关键词: injures  comprehensive surveillance
基金项目:江苏省疾控中心科教兴业工程基金(JKRC2011014)
作者单位
杜文聪 江苏省疾病预防控制中心慢性非传染病防制所,江苏 南京 210009 
杨 婕 江苏省疾病预防控制中心慢性非传染病防制所,江苏 南京 210009 
武 鸣 江苏省疾病预防控制中心慢性非传染病防制所,江苏 南京 210009 
王晓飞 张家港市疾病预防控制中心,江苏 苏州 215600 
施 展 浦口区疾病预防控制中心,江苏 南京 210031 
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中文摘要:
      目的:通过开展伤害综合监测工作,发现?了解运行现状,解决存在的问题,为伤害防制工作的开展提供坚实的信息基础。方法:收集南京市浦口区和张家港市2011~2012年期间的伤害门急诊患者信息?伤害住院病例的信息及伤害死亡信息,分析监测地区伤害的流行情况?住院费用的特点以及伤害谱等指标,描述监测工作的开展情况及存在问题。结果:伤害死亡分析中,2011年两监测地区常住人口数为1 971 633人,伤害死亡率为50.46/10万,2012年两监测地区常住人口数为1 985 232人,伤害死亡率为51.28/10万,2011~2012年间两监测地区男性伤害死亡率均高于女性伤害死亡率,两者差异有统计学意义;伤害患者住院费用分析表明两监测地区伤害患者住院总费用为2.08亿,平均住院总费用为10 751.02元,其中意外跌倒平均住院总费用最高,其次是道路交通事故,浦口区分别为19 803.42元和17 061.04元,张家港为13 387.77元和 12 728.26元;门急诊伤害患者分析中两监测地区在基本特征构成上差异均有统计学意义;两个监测地区死亡?住院和门急诊就诊的前两位伤害原因均是道路交通事故和意外跌倒。结论:道路交通事故和意外跌倒两种伤害是导致伤害死亡?住院以及门急诊就诊的最主要原因,因此应该加强对这两种伤害的综合防制,降低伤害带来的损失。伤害综合监测信息收集方面仍存在一些问题,信息利用率很低,应该提高监测数据的质量。
英文摘要:
      Objective:To investigate the situation of injury comprehensive surveillance system,find and solve the problem,provide the information base for the work of injury prevention and control. Methods:The data from 2011 to 2012 was used to analyze epidemic situation of injury,characteristics of the hospitalization expense and injury composition,and describe the surveillance work and existing problems. Results:The analysis of injury mortality showed that the resident population number of two surveillance areas was 1 971 633 in 2011 year,the injury mortality was 50.46∕100 000,and 1 985 232 in 2012 year,the injury mortality was 51.28/100 000;The male injury mortality was higher than women in both two surveillance areas from 2011 to 2012;The total Hospitalization expense of two surveillance areas was 208 million,the average expense was 10 751.02 yuan. Hospitalization expense caused by Accidental falls was the highest both in two surveillance areas,the second was Road Accidents,and the expenses were 19 803.42 yuan and 17 061.04 yuan in Pukou district,1 3387.77 yuan and 12 728.26 yuan in Zhangjiagang city;The comparisons of basic characteristics were all statistically significant in two surveillance areas. The top two reasons of Death,Hospitalization,Outpatient and emergency were still Road Accidents and Accidental falls. Conclusion: The hospitalization expense caused by Road Accidents and Accidental falls were the main injury causes,and were also the main reason leading to death,hospitalization,outpatient and emergency,so we should strengthen the integrated control of the two injures,reduce losses caused by the injuregs. There were some problems in the injury comprehensive surveillance system with low information utilization,and we should improve the quality of surveillance data.
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