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目的了解甘肃省兰州市道路交通伤害住院患者分布状况的趋势变化,为降低道路交通伤害的发生提供参考依据。方法对甘肃省兰州市整群抽取的2所省级综合医院1994—2008年收治的4 077例道路交通伤害住院患者的分布状况进行趋势性分析。结果 1994—2008年兰州市4 077例伤害住院患者中男性占72.75%,女性占27.25%,差异有统计学意义(χ2=90.52,P=0.000);男性伤害住院患者所占比例与年份呈正相关关系(rs=0.718,P=0.003),平均增长速度为1.96%;女性伤害住院患者所占比例与年份呈负相关关系(rs=-0.718,P=0.003),平均下降速度为4.18%;0～、15～、25～、35～、45～、55～和≥65岁年龄组分别占11.23%、15.97%、23.08%、25.66%、13.83%、6.40%和3.83%,不同年龄组伤害住院患者所占比例差异有统计学意义(χ2=137.61,P=0.000);35～44和45～54岁年龄组伤害住院患者所占比例与年份之间均呈正相关关系(P<0.05),平均增长速度分别为3.55%和4.38%;25～34岁年龄组伤害住院患者所占比例与年份呈负相关关系(rs=-0.868,P=0.000),平均下降速度为3.63%;农民、工人、学生、干部和其他职业伤害住院患者分别占27.81%、15.67%、13.15%、11.31%和32.06%,不同职业伤害住院患者所占比例差异有统计学意义(χ2=395.50,P=0.000);农民和其他伤害住院患者所占比例与年份均呈正相关关系(P=0.000),平均增长速度分别为3.56%和7.01%;工人和干部伤害住院患者所占比例与年份均呈负相关关系(P=0.000),平均下降速度分别为9.81%和8.15%。结论兰州市道路交通伤害住院患者以男性青壮年居多;农民、工人和学生是道路交通伤害发生的高危人群。
Objective To understand the trend of the distribution of inpatients with road traffic injuries in Lanzhou, Gansu Province, and provide a reference for reducing the occurrence of road traffic injuries. Methods The trend of the distribution of 4 077 cases of road traffic injuries hospitalized in two provincial general hospitals extracted from Lanzhou City, Gansu Province in 1994-2008 was analyzed. Results Among 4 077 injured inpatients in Lanzhou in 1994-2008, 72.75% were male and 27.25% were female, the difference was statistically significant (χ2 = 90.52, P = 0.000). The proportion of male inpatients with injuries was positively correlated with the year (Rs = -0.718, P = 0.003), and the average rate of increase was 1.96%. The proportion of female patients hospitalized with injuries was negatively correlated with years (rs = -0.718, P = 0.003) Accounting for 11.23%, 15.97%, 23.08%, 25.66%, 13.83%, 6.40% and 3.83% of the patients in the age group ~ ~, 15 ~, 25 ~, 35 ~, 45 ~, 55 ~ (Χ2 = 137.61, P = 0.000). There was a positive correlation between the proportion of hospitalized patients in the age group of 35-44 and the age group of 45-54 years and the year (P <0.05), with an average of The average growth rate was 3.55% and 4.38% respectively. The percentage of hospitalized patients in the age group of 25 ~ 34 was negatively correlated with the year (rs = -0.868, P = 0.000) Students, cadres and other occupational injuries accounted for 27.81%, 15.67%, 13.15%, 11.31% and 32.06% of hospitalized patients, respectively, occupational occupations in different occupations (Χ2 = 395.50, P = 0.000). The proportion of peasants and other inpatients with injuries was positively correlated with the years (P = 0.000), with the average growth rates of 3.56% and 7.01% The proportion of hospitalized cadres who suffered injuries was negatively correlated with the years (P = 0.000), with an average rate of decline of 9.81% and 8.15%, respectively. Conclusion Most of the hospitalized patients with traffic injuries in Lanzhou are male young adults; peasants, workers and students are the high risk groups of road traffic injuries.