2009-2013年全国伤害监测中张家港市老年病例特征分析  

Analysis of the characteristics of aging-associated diseases from the national injury surveillance in Zhangjiagang City between 2009 and 2013

作　　者：邱晶[1] 何丽娜[1] 赵丽霞[1] 

机构地区：[1]江苏省张家港市疾病预防控制中心慢病科,江苏张家港215600

出　　处：《现代预防医学》2015年第6期1108-1110,1118,共4页Modern Preventive Medicine

基　　金：江苏省卫生厅预防医学科研课题(Y2012020);张家港市科技发展计划项目(ZKS1206)

摘　　要：目的了解张家港市伤害监测老年病例的分布特征,为制定伤害预防和控制措施提供科学依据。方法收集3家伤害监测哨点医院2009-2013年填写上报的60岁以上老年伤害病例信息进行描述性统计分析。结果 5年来老年人伤害病例数逐步增加,位列伤害发生原因前五位的是跌倒/坠落(35.37%),道路交通伤害(27.59%)、刀/锐器伤(12.30%),动物伤(11.70%)和钝器伤(8.61%)。伤害发生地点主要在家中(48.17%)和公路/街道(33.06%)。伤害发生时主要进行休闲活动(47.61%)、驾乘交通工具(24.02%)。伤害性质表现为挫伤/擦伤(30.30%)、骨折(29.08%)和锐器伤/咬伤/开放伤(24.69%);受伤部位集中在下肢(30.78%)、上肢(28.47%);非故意伤害占97.10%,伤害程度以轻度(60.98%)为主。结论跌倒/坠落和道路交通伤害是危害张家港市老年人健康的最主要伤害,需要引起全社会的高度关注。应采取综合性的干预对策,保障老年人的生活质量。Objective The study aimed to assess the distribution characteristics of aging-associated diseases in Zhangjiagang City from the injury surveillance, so to provide a scientific reference for developing prevention and control measures against injuries.Methods Data on injuries occurred among older adults above the age of 60 and reported by 3 sentinel hospitals during 2009 to2013 were collected for descriptive statistical analysis. Results The number of injuries among older adults increased over the 5years. The top five most common reasons to the injuries were tumble/fall（35.37%）, traffic injury（27.59%）, sharps injury（12.30%）,animal attack（11.70%）, and blunt injury（8.61%）. The injuries mainly occurred at home（48.17%） and on roads/streets（33.06%）.The activities during which the injuries occurred were mainly leisure activities（47.61%） and driving/taking a vehicle（24.02%）. The nature of the injuries included contusion/abrasion（30.30%）, fracture（29.08%）, and sharps/bite/open injuries（24.69%）. Most of the injuries occurred on the lower limbs（30.78%） and upper limbs（28.47%）. Unintentional injuries accounted for 97.10%, and were mostly in mild conditions（60.98%）. Conclusion Tumble/fall and traffic injuries are the main injuries that cause harm to the health of older adults in the City. Raising awareness of the public on the issue and taking comprehensive intervening measures are required to ensure the quality of life of older adults.

关 键 词：伤害监测 老年 特征分析 

分 类 号：R181.22[医药卫生—流行病学]