2006-2017年陕西农村居民伤害监测病例特征分析  

Characteristics of injuries among the rural residents in Shaanxi,2006-2017

作　　者：飒日娜[1] 王艳平 李曼[1] 马金刚[1] 刘峰[1] SA Ri-na;WANG Yan-ping;LI Man;MA Jin-gang;LIU Feng(Shaanxi Provincial Center for Disease Control and Prevention,Xi'an ,Shaanxi 710054,China)

机构地区：[1]陕西省疾病预防控制中心慢病所,陕西西安710054

出　　处：《现代预防医学》2019年第1期171-175,共5页Modern Preventive Medicine

摘　　要：目的了解陕西省农村地区伤害流行的特征和变化趋势,为制定伤害干预和防控措施提供科学依据。方法收集2006年至2017年首次就诊于陕西省眉县3家伤害监测哨点医院门急诊的伤害病例,对伤害病例的人口学特征、伤害基本情况及相关临床特征等进行分析。结果共收集39 634例伤害病例,其中男性26 164例,女性13 470例,男女性别比为1. 20∶1;收集到的女性病例所占比重逐年增加。年龄中位数为41岁,其中40～59岁组最多,占全部收集病例的37. 01%。前5位伤害发生原因依次为机动车车祸(32. 49%)、跌倒/坠落(27. 66%)、钝器伤(16. 01%)、刀/锐器伤(7. 22%)和中毒(6. 27%)。伤害的发生地点主要为公路/街道(41. 08%)和家中(29. 55%)。伤害严重程度依次为轻度(50. 89%)、中度(40. 76%)和重度(8. 35%)。结论本研究显示,陕西省农村地区伤害病例中女性所占的比例逐年增高,老年人口伤害问题日趋严重。因此,针对不同性别、不同年龄的人群制定并开展相应的防控行动计划,是今后伤害防控的重要工作内容。Objective To understand the characteristics and trend of injuries in rural areas of Shaanxi Province,and to provide a scientific basis for injury prevention and control.Methods Cases from 3 injury surveillance hospitals in Mei County,Shaanxi Province,were collected from 2006 to 2017.The demographic characteristics,injury status and clinical features of injury cases were analyzed by constituent ratio.Results A total of 39634 injury cases were collected,including 26164 males and 13470 females with the ratio of sex was 1.20:1.The pr.oportion of female cases increased year by year.The median age was 41 years, of which 40 -59 was the major age group,accounting for 37.01% of all cases.The first five injury causes were motor vehicle accidents (32.49%),falls (27.66%),blunt injuries (16.01%),knife/sharp injuries (7.22%)and poisoning (6.27%).Injuries occurred mainly on highways (streets)(41.08%)and homes (29.55%).The severity of the injury was mild (50.89%),moderate (40.76%)and severe (8.35%).Conclusion The study shows that the proportion of women is increasing year by year,and the problem of the injury of the elderly becomes more serious.Therefore,formulating and carrying out corresponding prevention and control action plans for different sex and age groups is an important task for future injury prevention and control.

关 键 词：伤害监测 农村居民 分析 

分 类 号：R181.23[医药卫生—流行病学]