富阳区监测哨点医院急诊就诊伤害病例特征分析  

Characteristics of emergency injury incidents in sentinel hospitals of Fuyang District

作　　者：赵冲 施文文 ZHAO Chong;SHI Wenwen(Second Department of General Surgery,Fuyang No.2 Hospital,Hangzhou,Zhejiang 311400,China;Fuyang No.2 Hospital,Hangzhou,Zhejiang 311400,China)

机构地区：[1]杭州市富阳区第二人民医院普外二科,浙江杭州311400 [2]杭州市富阳区第二人民医院,浙江杭州311400

出　　处：《预防医学》2023年第2期155-157,161,共4页CHINA PREVENTIVE MEDICINE JOURNAL

摘　　要：目的了解2015—2020年杭州市富阳区伤害监测哨点医院急诊就诊伤害病例的特征,为制定农村伤害预防和干预措施提供依据。方法收集富阳区2家伤害监测哨点医院2015—2020年急诊就诊伤害病例资料,采用富阳区第七次全国人口普查数据对伤害病例发生率进行标化,并描述性分析伤害病例的人口学、伤害原因、严重程度和结局等特征。结果2015—2020年富阳区2家伤害监测哨点医院报告急诊就诊伤害病例84360例,年均标化发生率为15.85%。其中男性48330例,占57.29%;女性36030例,占42.71%。<19岁10653例,占12.63%;19~<46岁25398例,占30.11%;46~<71岁39951例,占47.36%;≥71岁8359例,占9.91%。就医方式以乘坐私家车(包括机动车和非机动车)为主,75246例占89.20%。伤害原因以钝器伤、刺/割伤和跌倒/坠落伤为主,分别为23668和22855例,占28.06%和27.09%。轻伤45961例,占54.48%;中度伤28043例,占33.24%;重伤356例,占0.42%。伤害结局以医院处理后回家为主,74401例占88.19%。<19岁病例轻伤为主,占81.48%,转院比例较高,为2.43%;≥71岁病例中度伤、重伤比例较高,分别占43.08%和0.77%,且住院和死亡的比例也较高,分别占18.71%和0.14%。结论2015—2020年富阳区2家伤害监测哨点医院急诊就诊伤害病例以轻伤为主,伤害原因主要为钝器伤、刺/割伤和跌倒/坠落伤;不同年龄段的伤害病例特征存在差异。Objective To investigate the epidemiological characteristics of injury cases admitted to department of emergency in sentinel hospitals in Fuyang District,Hangzhou City from 2015 to 2020,so as to provide insights into injury prevention and intervention in rural areas.Methods Data of injury cases were collected from the department of emergency of two sentinel hospitals in Fuyang District from 2015 to 2020,and the incidence of injury was standardized by the data from the China’s seventh national population census in Fuyang District.The demographics,causes,severity and outcomes of injury were descriptively analyzed.Results Totally 84360 injury cases were recorded in the department of emergency of two sentinel hospitals in Fuyang District from 2015 to 2020,and the annual average standardized incidence of injury was 15.85%.The injury cases included 48330 men(57.29%)and 36030 women(42.71%),and there were 10653 cases at ages of<19 years(12.63%),25398 cases at ages of 19 to<46 years(30.11%),39951 cases at ages of 46 to<71 years(47.36%),and 8359 cases at ages of 71 years and older(9.91%).Taking a private car(motor vehicles and non-motor vehicles)was the predominant way to seek medical care(75246 cases,89.20%).Blunt force injury and puncture wound/incision wound(23668 cases,28.06%),and fall injury(22855 cases,27.09%)were predominant causes of injury,and there were 45961 cases with mild injury(54.48%),28043 cases with moderate injury(33.24%),and 356 cases with severe injury(0.42%).Returning home after hospital treatments was the predominant outcome of injury(74401 cases,88.19%).Mild injury was predominant among patients at ages of<19 years(81.48%),with a high rate of transfer to other hospitals(2.43%),and moderate to severe injury was predominant among patients at ages of71 years and older(43.08%and 0.77%),with a high rate of hospital stay(18.71%)and a high mortality rate(0.14%).Conclusions Mild injury was predominant among patients admitted to the department of emergency of two sentinel hospitals in Fuyang District from 2

关 键 词：急诊 伤害 监测 

分 类 号：R195[医药卫生—卫生统计学]