2011—2015年上海市某社区卫生服务中心门诊伤害分析  

Analysis on the Characteristics of the Injures in One Communication of Shanghai, 2011-2015

作　　者：王玉林 徐奇[1] 胡蝶 Wang Yulin;Xu Qi;Hu Die(Hudong Community Health Care Center,Shanghai 200129,China)

机构地区：[1]上海市浦东新区沪东社区卫生服务中心,上海200129

出　　处：《健康教育与健康促进》2018年第3期254-258,共5页Health Education and Health Promotion

摘　　要：目的对上海市某社区卫生服务中心门诊伤害数据进行病例特征分析,为制定本区伤害预防控制策略提供依据。方法采用上海市统一伤害报告卡,收集分析2011—2015年沪东社区卫生服务中心门诊伤害监测报告病例974例。结果共收集有效病例974例,男女性别比为1∶1.69。人群年龄分布以45岁及以上人群为主(86.44%),其中65岁及以上病例最多(43.73%)。5年合计伤害的发生地点前三位为家中(58.7%)、公共居住场所(16.5%)、街道/公路(16.1%),伤害发生原因的前三位依次为跌倒/坠落(79.5%)、烧/烫伤(6.1%)、钝器伤(4.4%),伤害发生时的主要活动为休闲活动(66.8%)、家务/学习(19.2%)、有偿工作(5.1%),一天时间内伤害高发时段为8:00—10:00以及18:00时。伤害的性质主要是骨折(70.6%)、扭伤/拉伤(16.2%)、烧/烫伤(6.1%),伤害损伤的部位主要是下肢(35.7%)、躯干(34.9%)、上肢(25.4%)。结论社区伤害的预防和控制应重点关注老年人的室内以及公共场所的跌倒和坠落,提高老人的防范意识和完善室内和公共场所的防跌倒设施建设。Objective To analyze the characteristics of outpatient injury cases in a community health care center in Shanghai, to provide evidence for formulating strategies for injury prevention and control. Methods Using the unified injury reporting card, a total of 974 injury cases in a community health care center were collected from 2011 to 2015. was used. Results A total of 974 effective cases were collected. The ratio of male to female was 1 to 1.69. The age distribution of the population was dominated by people aged 45 and above （86.44%）, among which 65 and above were the most cases （43.73%）. In the 5 years, the top three of injuries occurring places were families （58.7%）, public housing places （16.5%）, and streets/highways （16.1%）. The first three of the injuries causes were falling down/fall （79.5%）, burning / scald （6.1%）, and blunt injury （4.4%）. The main activities of the injury were leisure activities （66.8%）, housework/learning （19.2%）, and paid work （5.1%）. The highest injury time in a day is 8：00-10：00 and 18：00. The main injuries kinds were fracture （70.6%）, sprain/strain （16.2%）, and burning / scald （6.1%）; the main locations of injuries were lower extremities （35.7%）, trunk （34.9%）, and upper limbs （25.4%）. Conclusion The prevention and control of community injury should focus on the fall and fall of the elderly in the indoor and public places, improve the awareness of the elderly and improve the construction of the indoor and public places to prevent the falling facilities.

关 键 词：伤害 监测 流行病学 

分 类 号：R195[医药卫生—卫生统计学]