上海市基于医院门急诊产品伤害监测研究  

Study of Product Injury Surveillance Based on Hospital Outpatient and Emergency System in Shanghai

作　　者：彭娟娟[1] 周德定[1] 高宁[1] 黄丽妹 关颖 仲伟鉴[1] PENG Juanjuan;ZHOU Deding;GAO Ning;HUANG Limei;GUAN Ying;ZHONG Weijian(Shanghai Municipal Center for Disease Control&Prevention,Shanghai 200336,China;Songjiang District Shanghai Center for Disease Control and Prevention,Shanghai 201620,China)

机构地区：[1]上海市疾病预防控制中心,上海200336 [2]上海松江区疾病预防控制中心,上海201620

出　　处：《伤害医学（电子版）》2018年第1期39-44,共6页Injury Medicine(Electronic Edition)

摘　　要：目的了解基于医院监测的产品伤害特征,为开展产品预警分析、提出产品伤害干预策略提供依据。方法选取上海市松江区全部3家二级医院,通过伤害监测系统收集2012—2015年医院门急诊产品伤害病例信息,分析产品相关伤害特征。结果 2012—2015年共监测产品伤害病例79 472例,其中男性病例48 188例,占60.6%,女性病例31 284例,占39.4%,男性高于女性(χ~2=1 396.06,P<0.01);呈年度变化趋势相关性(χ~2=4 300.00,P<0.01);产品伤害病例按产品类别分为道路交通工具类(44 859例,占56.4%),其他类产品(20 365例,占25.6%),家用日用品类(5 795例,占7.3%),家具类(4 973例,占6.3%),工业机械类(3 337例,占4.2%),儿童玩具及用品类(143例,占0.2%),主要产品类别伤害病例在各年龄组间存在差异(χ~2=5 775.72,P<0.01);前5位伤害发生原因依次为机动车车祸(27.1%)、非机动车车祸(24.8%)、跌倒/跌落(17.3%)、刀/锐器伤(15.5%)和钝器伤(10.7%);轻度伤害病例66 470例,占83.6%,中度伤害病例12 736例,占16.0%,重度伤害病例266例,占0.3%;94.3%的伤者(74 949例)经门诊治疗后回家,5.6%(4 434例)需观察/住院/转院治疗,而仅有0.1%(73例)的伤者发生死亡。结论应重点关注自行车/助动车、小汽车等交通工具以及家用日用品和家具等产品安全问题,采取行动预防产品相关道路交通伤害、跌倒/跌落的伤害风险。Objective To provide evidence for warning analysis of product-related injuries and putting forward intervention strategies of the injuries by analyzing the features of product-related injuries reported by the hospital surveillance system.Methods The product-related injury surveillance department in three hospitals in Songjiang district,Shanghai participated this project.The information about product-related injuries were from the cases admitted to the hospitals during 2012-2015,analyzed by SPSS 18.0,and comparisons were made using chi-square test.Results 79 472 product-related injury cases were collected between 2012 and 2015,including 48 188 male cases accounting for 60.6%and 31 284 female cases accounting for 39.4%.There were many more male cases than female cases(χ2=1 396.06,<0.01),and an overall upward trend with year existed(χ2=4 300.00,P<0.01).The injuries were classified into the following categorizations:44 859 road vehicle cases accounting for 56.4%,20 365 other products cases accounting for 25.6%,5 795 household appliance cases accounting for 7.3%,4 973 furniture cases accounting for 6.3%,3 337 industrial machinery cases accounting for 4.2%,and 143 child toy and article cases accounting for 0.2%.Significant differences existed among the product category groups and age-groups(χ2=5 775.72,P<0.01).The top five injuries were related to motor vehicle accidents(27.1%),non-motor vehicle accidents(24.8%),falls(17.3%),cutting/piercing/stabbing(15.5%)and blunting(10.7%).There were 66 470 mild injury cases accounting for 83.6%,12 736 moderate injury cases accounting for 16.0%,and 266 severe injury cases accounting for 0.3%.74 949 injury cases went home after outpatient treatment accounting for 94.3%,4 434 cases,accounting for 5.6%,were stayed at the hospitals for observation,treated,or transferred to other hospitals,while 73 cases died accounting for 0.1%.Conclusions Particular attention should be paid to the safety concerns about bicycle/moped/scooter,car and other vehicles,household appliance,furniture and ot

关 键 词：产品 伤害 监测 

分 类 号：R459.7[医药卫生—急诊医学]