2016年湖北省伤害监测点老年跌倒/坠落病例特征分析  

Epidemic Characteristics of Fall-related Injuries in Elderly People Reported in Hubei Injury Surveillance System during 2016

作　　者：李茜[1] 张庆军[1] 张岚[1] LI Qian;ZHANG Qing-jun;ZHANG Lan(Hubei Province Center for Disease Control and Prevention,Wuhan 430079,China)

机构地区：[1]湖北省疾病预防控制中心,武汉430079

出　　处：《伤害医学（电子版）》2017年第3期41-47,共7页Injury Medicine(Electronic Edition)

基　　金：湖北省卫生计生委科研基金(WJ2015MB045)

摘　　要：目的了解湖北省伤害监测点老年人跌倒伤害的流行病学特征,为制定跌倒伤害干预策略提供科学依据。方法对湖北省伤害监测点2016年因跌倒/坠落伤害就诊的60岁及以上老年人伤害病例进行分析。结果2016年老年人跌倒/坠落病例2 943例,占该人群全部伤害病例的58.39%,男女性别比0.76∶1。跌倒/坠落发生地点主要为家中(70.27%);跌倒/坠落发生时的活动主要为家务(47.88%)和休闲活动(11.62%)。跌倒/坠落造成的后果以骨折为主(47.94%),其次为挫伤/擦伤(21.24%)和扭伤/拉伤(19.98%);受伤部位前3位为下肢(34.73%)、上肢(26.67%)和躯干(18.93%)。跌倒/坠落伤害的严重程度以中度为主(50.36%)。结论跌倒/坠落是造成老年人伤害的主要原因,家中是伤害首要发生地点。以家庭为重点,改进家庭环境以减少老年跌倒/坠落伤害的发生。Objective Analyzing the epidemic characteristics of fall-related injuries in people over60years oldreported in Hubei Injury Surveillance System thus provide scientific evidence for formulating the intervention strategyof fall-related injuries.Methods The data of fall injuries in people over60years old were collected from injurysurveillance intervention hospitals in Hubei Province and analyzed.Results A total of2943fall injury cases werereported in people aged over60years,accounting for58.39%of all injury cases in this population.The gender ratio(male/female)of fall injury cases was0.76∶1.The first three scenes of fall injury were at home(70.27%),housework(47.88%),and leisure activities(11.62%).The main fall-related injuries were fractures(47.94%),bruise(21.24%),andsprain(19.98%),with the injured parts were at low limbs(34.73%),upper limbs(26.67%),and truncus(18.93%),of whichmost were moderate injuries(50.36%).Conclusion Falling-down was the main cause of injuries happened to elderlypeople,and most of them occurred at home.Therefore,improving family environment was recommended to reduce theincidence of fall injuries in the elderly.

关 键 词：老年人 跌倒/坠落 监测 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]