CAJ | 학술논문

目的根据第2次全国残疾人抽样调查广东省数据,分析广东省成人肢体残疾的主要致残原因,并针对性提出预防及治疗建议.方法于2006年第2次全国残疾人抽样调查工作中收集广东省成人肢体残疾数据,根据患者残疾程度、城乡分布及年龄区间进行分组统计,考查其主要致残原因,并给予相应预防及治疗建议.结果在广东省境内,不同致残原因所致成人肢体残疾患者在残疾程度、城乡分布及年龄方面的差异均有统计学意义(P<0.05).在所有致残原因中,以脑血管病所致肢体残疾患者数量最多(16.7%);除脑外伤及中毒外,其它原因所致肢体残疾发病率均是农村远高于城市水平(城市、农村平均发病率分别为31.8%和68.2%);中、青年肢体残疾人群的主要致残原因是脊髓灰质炎(14.8%,17.1%),老年肢体残疾人群的主要致残原因是骨关节疾病(35.7%).结论为进一步减少我国肢体残疾患者数量及减轻残疾程度,各相关单位需要加强脑血管病、脊髓损伤、脑性瘫痪、脊髓灰质炎及骨关节疾病的预防和治疗;加大农村医疗建设投入,提高农村人口肢体残疾的诊断率及好转率.
목적 근거제2차전국잔질인추양조사광동성수거,분석광동성성인지체잔질적주요치잔원인,병침대성제출예방급치료건의.방법 우2006년제2차전국잔질인추양조사공작중수집광동성성인지체잔질수거,근거환자잔질정도、성향분포급년령구간진행분조통계,고사기주요치잔원인,병급여상응예방급치료건의.결과 재광동성경내,불동치잔원인소치성인지체잔질환자재잔질정도、성향분포급년령방면적차이균유통계학의의(P<0.05).재소유치잔원인중,이뇌혈관병소치지체잔질환자수량최다(16.7%);제뇌외상급중독외,기타원인소치지체잔질발병솔균시농촌원고우성시수평(성시、농촌평균발병솔분별위31.8%화68.2%);중、청년지체잔질인군적주요치잔원인시척수회질염(14.8%,17.1%),노년지체잔질인군적주요치잔원인시골관절질병(35.7%).결론 위진일보감소아국지체잔질환자수량급감경잔질정도,각상관단위수요가강뇌혈관병、척수손상、뇌성탄탄、척수회질염급골관절질병적예방화치료;가대농촌의료건설투입,제고농촌인구지체잔질적진단솔급호전솔.
Objective To analyze the main causes of physical disability in adults in Guangdong province in China, and to provide prevention and treatment strategies. Methods Data on Guangdong from China's Second Na-tional Sample Survey on disability in 2006 were carefully collected. Physical disability was categorized according to different causes. In each category or group, multiple factors including the severity, distribution in urban or rural are-as, and the age of onset were analyzed with appropriate statistical methods. Prevention and treatment were then for-mulated based on the data. Results The severity of disability, distribution in rural and urban areas, and the age of onset were significantly different in different groups. The main cause was cerebral vascular diseases (16.7%). The incidence of physical disability was much higher in rural areas than that in urban areas (31.8% vs 68.2% ) except for brain trauma and toxication. The main cause for physical disability among young and middle-aged people was poly-myelitis (17.1% and 14.8% respectively) ; in old people it was osteoarthrosis (35.7%). Conclusions In order to lower the incidence of physical disability and to alleviate its severity, more work should be done in the prevention and treatment of cerebral vascular disease, spinal injury, cerebral palsy, polymyelitis and osteoarthrosis. In addition more financial and technical support is needed in rural areas.