军队伤害住院病例流行病学特征研究  

Epidemiological study on injured inpatients among the military

作　　者：李顺飞[1,2] 李申龙[1] 孙海龙[1] 徐元勇[1] 邹文[1] 范国英[1] 

机构地区：[1]军事医学科学院疾病预防控制所,北京100071 [2]解放军150医院,河南洛阳471031

出　　处：《中华疾病控制杂志》2009年第3期284-286,共3页Chinese Journal of Disease Control & Prevention

摘　　要：目的描述某地区军队伤害住院病例的特点及规律,探索军队伤害监测模式。方法对3所军队医院2003年1月1日～2007年12月31日所有军队伤害病例信息进行归纳分析。结果5年内共出院1 622例伤害病例,占住院病例总数的8.31%。83.23%的伤害病例年龄在11～30岁,身份以战士(75.59%)和在职干部(17.01%)为主。入院时间月份构成最高的依次是12月(13.07%)、6月(10.63%)和7月(9.13%)。伤害发生的原因主要是跌倒/坠落(31.18%)、军训作业中意外损伤(23.94%)、钝器伤(16.38%)和锐器伤(9.84%);伤害性质前3位依次是骨折(31.02%)、扭伤/拉伤(15.67%)、挫伤/擦伤(13.54%);伤害部位以上肢居首(25.67%),其后依次为头部(24.80%)、下肢(22.99%)和躯干(11.26%)。结论青壮年官兵的军事训练伤是干预重点,需要通过建立监测体系,为伤害的预防与控制提供重要支撑。Objective To describe the regular patterns and characteristics of injured inpatients in the army, and explore the injury surveillance mode. Methods Quantification analysis, induction analysis and empirical method were adopted to study the sample derived from three military hospitals from 2003 to 2007. Results 1 622 valid cases were selected, accounting for 8.31% of the total. Most of the injured inpatients were in the group aged from 11- 30, with soldiers （75.59 % ） and officers （17.01% ） as the main object, accounting for 83.23 % of the sample. December （13.07 % ）, June （10.63 % ） and July （9.13%） were the top three months in admission rate, with reasons descending as follows： fall/ crashes （31.18%）, accidental injuries （23.94%）, blunt force trauma （16.38%） and sharp injuries （9.84%）, with the top three nature of injury followed by fractures （31.02%）, sprain/strain （15. 67 % ）, contusion/abrasions （13.54 % ）, with the injured part followed by upper limb （25.67 % ）, head （24.80 % ） , lower limb （22.99 % ） and trunk （ 11.26 % ）. Conclusions The young officers and soldiers military training iniury should be the focus of future intervention. The monitoring system ought to be set up to catch the information involving injury occurrence, clinics and intervention evaluation and so on.

关 键 词：住院 创伤和损伤 流行病学 

分 类 号：R181.22[医药卫生—流行病学] R264[医药卫生—公共卫生与预防医学]