2007～2009年大连市监测点医院就诊老年伤害病例资料分析  

Analysis on Data of Senile Injury Cases in the Surveillance Hospitals of Dalian City from 2007 to 2009

作　　者：梅丹[1] 何静[1] 许放[1] 刘明禹[1] 王浩[1] 

机构地区：[1]大连市疾病预防控制中心,辽宁大连116021

出　　处：《预防医学论坛》2010年第8期756-759,共4页Preventive Medicine Tribune

摘　　要：[目的]探讨大连市老龄人口伤害发生情况,为制定干预措施提供依据。[方法]对2007～2009年大连市3所3级甲等医院就诊后诊断为伤害的全部首诊病例资料进行分析。[结果]2007～2009年3所医院合计报告60岁以上老年伤害病例4890例。其中,2007年870例,2008年1717例,2009年2303例;男性占46.54%,女性占53.46%;60～64岁占29.31%,65～69岁占17.77%,70～74岁占18.05%,75～79岁占15.67%,80～84岁占11.00%,85岁以上占8.20%。伤害原因主要是跌倒/坠落(占46.03%)、机动车车祸(占21.29%)、钝器伤(占12.78%)、刀/锐器伤(占9.57%)、动物伤(占3.94%);伤害部位主要是头部(占29.09%)、上肢(占26.83%)、下肢(占20.15%)、躯干(占13.89%)、多部位(占7.02%);伤害发生在休闲活动中的占54.76%,在家务/学习的占12.35%,在驾乘交通工具的占9.61%,在有偿工作的占3.97%,在体育活动的占1.33%;挫伤、擦伤占37.38%,锐器伤、咬伤、开放伤占20.59%,骨折占25.51%,脑震荡、脑挫裂伤占6.48%,扭伤/拉伤占5.64%。属于非故意伤害的占90.63%,属于故意伤害的占7.87%,属于自残/自杀的占0.67%。轻度、中度和重度伤害分别占66.20%,30.78%和3.03%。治疗后回家的占74.07%,观察/住院/转院的占24.79%,死亡占0.37%。[结论]老年人主要以跌倒/坠落和钝器伤为主,应强化针对性的防范措施。[Objective]To explore the conditions of senile injuries in Dalian city,so as to provide evidence for the establishment of preventive measures.[Methods]Analysis was made on data of the cases diagnosed as injuries in 3 top hospitals in Dalian city from 2007 to 2009.[Results]A total of 4 890 cases of senile injuries above 60 years old were reported in 3 hospitals from 2007 t0 2009.Among them,870 in 2007,1 717 in 2008 and 2 303 in 2009;Males accounted for 46.54% and females accounted for 53.46%.Those at 60 to 64 accounted for 29.31%,Those at 65 to 69 accounted for 17.77%,Those at 70 to 74 accounted for 18.05%,Those at 75 to 79 accounted for 15.67%,Those at 80 to 84 accounted for 11.00%,Those above 85 accounted for 8.20%.The leading injury causes were accidental tumbles/falls（46.03%）,motor vehicle traffic accidents（21.29%）,hit by blunt objects（12.78%）,hit by knife/sharp objects（9.57%）and animal injury（3.94%）respectively.The major injured body parts were head（29.09%）,arm（26.83%）,lower limb（20.15%）,trunk（13.89%）,more sites hurts（7.02%）and others 3.01% respectively.The injury locations were leisure activities（54.76%）,at home（12.35%）,on transportation（9.61%）,at work（3.97%）,in sports（1.33%）.Foul up,barked 37.38% of the injury,sharply broken 20.59%,the fracture 25.51%.90.63% of the injuries belonged to unintentional injuries.7.87% of the injuries belonged to intentional injury,suicide 0.67%.Minor,moderate and serious injuries accounted for 66.20%,30.78% and 3.03%.74.07% were cured and went home;Observation/hospitalization/referral accounted for 24.79%,only 0.37% died.[Conclusion]The injuries of the senile population are mainly accidental tumbles/falls and hit by blunt objects and traffic accidents,pertinent preventive measures should be taken.

关 键 词：老年人 伤害 病例 分析 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]