慈溪市门诊伤害监测病例的流行病学分析  

Epidemiological analysis on the ambulatory surveillance cases with injuries in Cixi City

作　　者：倪红霞[1] 陈衡平[1] 张涛[1] 陈国华[2] 高华[1] 陈立群[2] 金芳 

机构地区：[1]浙江省宁波市疾病预防控制中心,浙江宁波315000 [2]慈溪市疾病预防控制中心

出　　处：《疾病监测》2007年第2期116-118,共3页Disease Surveillance

摘　　要：目的了解浙江省慈溪市门诊伤害的流行病学特征和规律,为伤害防控提供科学依据。方法分层随机抽取慈溪市县级医院、中心镇卫生院和乡卫生院各一家,以2004年7月1日至2005年6月30日到医院门诊就诊并被诊断为伤害的首诊患者作为研究对象。结果共报告伤害病例15808例,男女性别比为1.92∶1,平均年龄为(33.73±17.06)岁,15～59岁占79.8%。前4位职业依次为农民、工人、学生、待业/下岗者。伤害多发生于公路/街道、工作场所、家中和学校,主要发生于旅行、工作、体育活动时,发生时间多在9:20-20:00。导致伤害发生的原因依次为交通事故、动物咬伤、钝器伤、跌落,以非故意伤害为主。门诊伤害死亡66例,53.0%死于是交通事故。结论交通伤害、犬伤、职业伤害及儿童伤害应是本地区伤害干预的重点。Objective The present study was conducted to get the knowledge of the epidemiological characteristics and rules of the ambulatory surveillance cases with injuries and provide the scientific data for prevention and control of injuries. Methods One hospital at the level of county, one health center in central town, and one health center in village were sampled by stratified random sampling. The patients who were fast diagnosed as injuries at ambulatory clinics from July 1st, 2004 to June 30th, 2005 were enrolled as the research objectives. Results 15 808 cases of injuries were reported, the sex ratio of male and female cases was 1.92：1, the average age was 33.73±17.06, and cases aged from 15 to 59 covered 79.8%. The first four vocations were peasants, workers, students, and job-waiting/laid-off workers in turn. Injuries mainly happened in the roads/streets, work places, homes and schools. During traveling, working, and sports, injuries were easy to happen. The time when injuries happened was mainly from 9：20 to 20：00. The reasons for injuries were traffic accidents, animal bite wounds, blunt trauma wounds, and falling, of which the most injuries were unintentional. 66 cases with injures at ambulatory clinics were dead, among which 53.0.% died from traffic accidents. Conclusion The emphases to intervene injures should be traffic injuries, dog bite wounds, vocational injuries, and children＇s injuries in the city.

关 键 词：门诊伤害 监测 分析 

分 类 号：R181.3[医药卫生—流行病学]