金华市监测哨点医院伤害病例流行特征分析  

Epidemiological characteristics of injury cases from hospital-based surveillance in Jinhua

作　　者：王诚 陈左霞[1] 王小红[1] 徐则林[1] WANG Cheng;CHEN Zuo-xia;WANG Xiao-hong;XU Ze-lin(Jinhua Center for Disease Control and Prevention,Jinhua,Zhejiang 321000,China)

机构地区：[1]金华市疾病预防控制中心

出　　处：《预防医学》2019年第9期870-872,876,共4页CHINA PREVENTIVE MEDICINE JOURNAL

摘　　要：目的了解2014—2018年金华市医院伤害监测病例的流行特征,为制定居民伤害防控措施提供依据。方法通过浙江省慢性病监测信息管理系统收集2014—2018年金华市伤害监测哨点医院首次就诊的伤害病例资料,采用描述流行病学方法对伤害监测病例的人口学特征、伤害发生原因及伤害发生时间进行分析。结果2014—2018年金华市共报告伤害病例38052例,男女性别比为1.55∶1;伤害病例年龄以25~<45岁居多,13880例占36.48%;平均年龄为(37.21±20.46)岁,呈逐年增大趋势(P<0.05)。职业以农民工为主,17694例占46.50%;其次为工人,6441例占16.93%。前五位伤害发生原因依次为跌倒伤,13555例占35.62%;钝器伤,9785例占25.72%;交通伤,4990例占13.12%;刺割伤,4830例占12.69%;动物伤,2661例占6.99%。伤害主要发生在7—9月,11131例占29.25%。结论2014—2018年金华市监测哨点医院伤害病例的主要伤害原因为跌倒,男性、农民工和25~<45岁人群是伤害高危人群。Objective To understand the epidemiological characteristics of injury in Jinhua from 2014 to 2018,and to provide scientific basis for formulating injury intervention and prevention measures.Methods The information of injury cases from three sentinel hospitals in Jinhua from 2014 to 2018 was collected through Zhejiang chronic diseases surveillance and management system.Descriptive analysis was conducted on the demographic characteristics,causes and time distribution of injury surveillance cases.Results A total of 38 052 injuries were reported from 2014 to 2018,with 1.55 men for every woman.The average age of injury cases was(37.21±20.46)years,and increased year by year(P<0.05).The age of injury cases mainly concentrated in 25-44 years,with 13 880 cases accounting for 36.48%.The main occupation were migrant workers,with 17 694 cases accounting for 46.50%,and workers,with 6 441 cases accounting for 16.93%.The top five causes of injury were falls(13 555,35.62%),blunt injuries(9 785,25.72%),traffic injuries(4 990,13.12%),stabs or cuts(4 830,12.69%)and animal injuries(2 661,6.99%).The high incidence of injury lay in July to September,with 11 131 cases accounting for 29.25%.Conclusion The top cause of injury in Jinhua from 2014 to 2018 were fall.Males,migrant workers and people aged 25-44 years were at high risk of injury.

关 键 词：伤害 流行特征 医院监测 

分 类 号：R181.3[医药卫生—流行病学]