上海市普陀区2016-2020年社区老年人跌倒/坠落病例特征分析  

Analysis on the Characteristics of the Community Elderly Fall Cases in 2016-2020 in Putuo District of Shanghai

作　　者：朱小霞 胡嫣平 吴春香[1] 陈晓[1] Zhu Xiaoxia;Hu Yanping;Wu Chunxiang;Chen Xiao(Putuo District Center for Disease Control and Prevention,Shanghai 200333,China)

机构地区：[1]上海市普陀区疾病预防控制中心,上海200333

出　　处：《健康教育与健康促进》2022年第4期371-375,共5页Health Education and Health Promotion

摘　　要：目的探讨上海市普陀区2016—2020年社区卫生服务中心门诊老年跌倒/坠落病例特征,为预防老年人跌倒提供科学依据。方法对上海市普陀区2016—2020年所有社区卫生服务中心就诊的≥60岁老年人跌倒/坠落病例进行描述性分析。结果上海市普陀区2016—2020年共登记报告≥60岁老年人跌倒/坠落病例11560例,男女性别比为1:2.26。不同年份老年跌倒/坠落性别、年龄分布差异均有统计学意义(χ^(2)=14.14,P=0.007;χ^(2)=160.67,P<0.001)。老年跌倒/坠落发生地点居前三位的依次是家中(51.16%)、公共居住场所(29.46%)、街道/公路(13.41%),并且随着年龄增长发生在家中的比例逐渐升高;受伤性质居前三位的分别为骨折(37.19%)、扭伤/拉伤(32.03%)、挫伤/擦伤(27.37%);受伤部位居前三位的分别为下肢(38.56%)、躯干(36.84%)、上肢(19.97%)。结论跌倒/坠落是城市老年人意外伤害的首要原因。基于现有的老年人跌倒/坠落的流行特征、危险因素等应进一步开展预防老年人跌倒/坠落的针对性干预。Objective To investigate the characteristics of fall cases in the elderly in community health care centers in Putuo District of Shanghai from 2016 to 2020,and to provide the scientific basis for preventing senile fall in the elderly.Methods Data were collected from injury surveillance data of all community health care centers in Putuo District from 2016 to 2020,descriptive analysis of fall cases in the elderly≥60 years old were analyzed.Results From 2016 to 2020,a total of 11560 fall cases were registered in Putuo District,and the ratio of male to female was 1 to 2.26.There were significant differences in gender and age distribution of fall in the elderly in different years(χ^(2)=14.14,P=0.007;χ^(2)=160.67,P<0.001).The top three locations of occurrence were home(51.16%),public living places(29.46%),and streets/highways(13.41%);with the increase of age,the proportion of occurrence at home gradually increased.The top three types of injuries were fracture(37.19%),sprain/strain(32.03%),and contusion/abrasion(27.37%).The top three injuries were lower extremity(38.56%),trunk(36.84%),and upper extremity(19.97%).Conclusion Falls are the leading cause of accidental injuries among the urban elderly,and it is necessary to carry out targeted fall prevention interventions based on the existing epidemic characteristics and risk factors of fall in the elderly.

关 键 词：老年 跌倒/坠落 社区 监测 

分 类 号：R195[医药卫生—卫生统计学]