2016-2019年荆门市60岁及以上老年人伤害病例分析  

Analyses of Injury Cases among Elderlies in Jingmen City from 2016 to 2019

作　　者：刘秀立[1] 李晓珊 李茜[2] LIU Xiu-li;LI Xiao-shan;LI Qian(Chronic Disease Institute of Jingmen Center for Disease Control and Prevention,Jingmen 448000,China;Chronic Disease Institute oftiubei Provincial Center jor Disease Control and Prevention,Wuhan 430000,China)

机构地区：[1]荆门市疾病预防控制中心慢病所,荆门448000 [2]湖北省疾病预防控制中心慢病所,武汉430000

出　　处：《伤害医学（电子版）》2021年第2期8-15,共8页Injury Medicine(Electronic Edition)

基　　金：湖北省自然科学基金项目(2017CFB454)。

摘　　要：目的对2016—2019年荆门市老年人伤害发生基本情况进行分析,为制定老年人伤害预防控制策略提供参考。方法收集2016—2019年荆门市3家伤害监测哨点医院的首次就诊60岁及以上伤害患者报告卡信息,分析60岁及以上老年人伤害病例分布特征。结果2016—2019年3家哨点医院共登记60岁及以上老年人伤害病例6271例,老年人伤害发生原因前五位依次为跌倒/坠落(55.86%)、机动车伤害(20.84%)、钝器伤(8.90%)、刀/锐器伤(5.23%)和中毒(2.18%),共占95.07%;老年人发生伤害的时间高峰在08:00~11:00点;发生伤害时的主要活动为做家务(33.69%)、步行(19.82%)和生命活动(18.21%);伤害发生地点前三位分别为家中(52.80%)、公路/街道(28.21%)和农场/农田(7.69%);老年人伤害性质前三位分别为骨折(59.62%)、挫/擦伤(11.51%)和脑震荡/脑挫裂伤(9.95%)。结论伤害威胁着荆门市老年人的健康,预防老年人伤害应着重关注跌倒/坠落和机动车伤害。Objective Incidences of injuries among elderlies,age>60 years old,in Jingmen city,2016 to 2019,were investigated for the purpose of developing better injury prevention and control strategies.Methods Report card information of elderly patients who visited three injury monitoring sentinel hospitals for the first time in Jingmen city was collected,and distribution characteristics of the injuries were analyzed.Results A total of 6,271 cases of injuries were registered in the 3 hospitals during the three years.The top five causes of injuries were falls(55.86%),motor vehicle accidents(20.84%),blunt force injuries(8.90%),knife/sharp weapon injuries(5.23%)and poisoning(2.18%),accounting for 95.07%of all injuries.The peak of injury occurred between 8 am to 11 am.The main activities involved with the injuries were:housework(33.69%),walking(19.82%)and vital activities(18.21%).The top three places where injuries occurred were at home(52.80%),road/street(28.21%)and farm/land(7.69%).Fracture(59.62%),setback/abrasions(11.51%)and concussion/brain contusion(9.95%)were the top three injuries.Conclusions Injury is a major threat to health of the elderlies in Jingmen,and prevention of their injuries should be focused on falls and motor vehicle injuries.

关 键 词：老年人 伤害 监测 

分 类 号：R195[医药卫生—卫生统计学]