【摘要】 目的了解深圳市头颈外伤的流行病学特点,为防控措施提供决策依据。方法回顾性抽样调查1994年1月至2003年12月深圳市各级医院因头颈外伤住院的患者病历,采用统一的调查表,由专门培训的统计员进行填表调查。结果共调查到7974份住院病历,头颈外伤发生率呈逐年上升趋势,2003年的发生率(63.00/10万)是1994年发生率(37.17/10万)的1.7倍;患者中男女比例为3.9:1;21～40岁年龄段的青壮年最多(占63%),其次是11～20岁年龄段的青少年(占14.79%);特区外发生率明显高于特区内;交通事故、治安事件及工伤是外伤的前3位原因;头颈外伤中最易受伤部位是眼及面颊部,多为软组织损伤;患者首先就诊的医院是乡镇及区级医院;3.46%的患者费用来自社会基本医疗保险。结论头颈外伤给深圳市带来的公共卫生问题和社会、经济负担不容忽视,应针对重点人群、多部门合作地进行综合防控,医疗资源的配置应适应头颈外伤的流行分布特点。(中国眼耳鼻喉科杂志,2007,7:313-316)更多还原

【Abstract】 Purpose To study the epidemiologic characteristics of head and neck injury in Shenzhen and to sum- marize the preventive measures.Methods The epidemiologic data of patients with head and neck injury from 1994 to 2003 in Shenzhen were retrospectively investigated by special statistician with unified questionaire.Results Among 7 974 investigated cases,the incidence of head and neck injury was 63.00/100 000 in 2003,1.7 times that in 1994(37.17/ 100 000).The sex ratio of male and female was 3.9:1.The victims’ age mostly ranged from 21 to 40 years old(63%) and the next ranged from 11 to 20 years old(14.79%).The injury incidence was higher out of the specM zone than that in it.The first three causes of injury were traffic accident,public security event and occupational trauma.The mostly inju- ried sites were eyes and cheeks and the mostly injuried involved soft tissues.The patients usually went to the town or the district hospitals for their first treatment.The medical cost of 3.46% patients came from the society basic medical insurance.Conclusions Head and neck injury gives rise to public health,community and economy problems in Shenz- hen.Measures for the prevention and control of these problems should be taken among the major crowd through the coop- eration between departments.The disposition of medical resource should adapt to the epidemiologic charateristics of head and neck injury.(Chin J Ophthalmol and Otorhinolaryngol,2007,7:313-316)更多还原