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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。
OBJECTIVE: Through the comprehensive monitoring of injuries, we found out and understood the status quo of operation and solved the existing problems so as to provide a solid information foundation for the prevention and control of injuries. Methods: The information of patients with outpatient and emergency department injuries, hospitalized cases and injuries and death information during the period from 2011 to 2012 in Pukou District and Zhangjiagang City in Nanjing were collected. The prevalence of injuries, the characteristics of hospitalization expenses and injury spectrum were analyzed. Describe the status of monitoring work and problems. Results: In the analysis of injuries and deaths, the number of permanent residents in the two monitoring areas in 2011 was 1 971 633, the injury death rate was 50.46 / 100,000. In 2012, the resident population in the two monitoring areas was 1 985 232 and the injury death rate was 51.28 / 100 000. The mortality rate of male injuries in the two monitoring areas from 2011 to 2012 was higher than that of female mortality, the difference was statistically significant; hospitalization cost analysis showed that the total cost of hospitalization for injured patients in the two monitoring areas was 208 million, the average hospitalization The total cost was 10,751.02 yuan, of which the average accidental falls the highest total hospital costs, followed by road traffic accidents, Pukou District were 19,803.42 yuan and 17,061.04 yuan, Zhangjiagang 13,387.77 yuan and 12,728.26 yuan; The differences of the basic characteristics between the two monitoring areas were statistically significant. The first two reasons for the death, hospitalization and emergency attendance in the two monitoring areas were road accidents and accidental falls. Conclusion: The two major injuries caused by traffic accidents and accidental falls are the leading causes of injuries, hospitalizations and outpatient and emergency visits. Therefore, comprehensive prevention and control of these two kinds of injuries should be strengthened to reduce the damage caused by injuries. There are still some problems with the collection of information on integrated monitoring of injuries. The information utilization rate is very low and the quality of monitoring data should be improved.