2006—2021年成都市青羊区伤害发生特征及变化趋势分析  

Analysis on the occurrence characteristics and change trend of injuries in Qingyang District of Chengdu from 2006 to 2021

作　　者：张沁涵 陈晓芳 蔡鹏[2] 彭长燕 张黎阳 ZHANG Qinhan;CHEN Xiaofang;CAI Peng;PENG Changyan;ZHANG Liyang(Chengdu Medical College,Chengdu 610500,Sichuan Province,China;Center of Disease Control and Prevention of Qingyang District,Chengdu 610031,Sichuan Province,China)

机构地区：[1]成都医学院,成都610500 [2]成都市青羊区疾病预防控制中心,成都610031

出　　处：《预防医学情报杂志》2023年第4期418-425,共8页Journal of Preventive Medicine Information

摘　　要：目的分析2006—2021年成都市青羊区伤害哨点监测病例的特征和变化趋势,为制定伤害防控策略提供依据。方法利用2006—2021年成都市青羊区伤害哨点监测资料,描述伤害发生特征,采用Joinpoint Regression Program 4.9.0.1软件分析变化趋势,检验水准α=0.05。结果2006—2021年成都市青羊区累计报告伤害病例329463例,其中男性186307例(56.55%),女性143156例(43.45%),性别比为1.30∶1。从伤害发生年龄来看,18~44岁组是伤害的高发年龄段,其次是45~64岁组;18~64岁人群伤害病例数占总病例数的68.64%。从伤害发生原因来看,前3位依次为跌倒/坠落(29.48%)、动物伤(20.51%)、道路交通伤害(13.16%);男、女性均以跌倒/坠落为主要伤害发生原因;除18~44岁组(主要原因是动物伤)外,跌倒/坠落为各年龄段首位伤害发生原因。从伤害发生地点来看,前3位依次为家中(41.15%)、公路/街道(19.07%)、公共居住场所(16.62%)。从伤害性质来看,前3位依次为锐器伤/咬伤/开放伤(36.54%),挫伤/擦伤(34.96%)、骨伤(6.44%)。动物伤病例构成比2006—2021年呈上升趋势,年度增长有统计学意义(t=4.5,P<0.001)。道路交通伤害病例构成比2006—2021年呈下降趋势,年度降幅有统计学意义(t=-6.0,P<0.001)。结论儿童和老年人跌倒/坠落、18~44岁人群动物伤是青羊区伤害预防的优先领域,应采取针对性的防控措施,减少伤害发生。Objective To analyze the characteristics and changing trend of injury sentinel surveillance cases in Qingyang District of Chengdu from 2006 to 2021,and to provide the basis for formulating injury prevention and control strategies.Methods The surveillance data of injury sentinel in Qingyang District of Chengdu from 2006 to 2021 was used,the characteristics of injury occurrence were described,and the change trend was analyzed by using the Joinpoint Region Program 4.9.0.1 software.The test level wasα=0.05.Results From 2006 to 2021,there were 329463 injury cases reported in Qingyang District of Chengdu City,which including 186307 male cases(56.55%)and 143156 female cases(43.45%).The sex ratio was 1.30∶1.From the perspective of the age of injury occurrence, the 18-44 age group was the group with high incidence of injury, then followed bythe 45- 64 age group;The number of injury cases among people aged 18 to 64 accounted for68.64% of the total cases. From the perspective of the causes of injuries,the top three were falls(29.48%),animal injuries (20.51%) and road traffic injuries (13.16%);Falls was the main causeof injury for both men and women;In addition to the 18-44 age group (mainly caused by animalinjuries),falls were the first cause of injuries in all age groups. In terms of the location of injury,the top three places were home (41.15%),road/street (19.07%),and public living places (16.62%) .In terms of injury nature, the top three injuries were sharp instrument injury/bite/open wound(36.54%),contusion/abrasion (34.96%) and bone injury (6.44%) . The proportion of animal injurycases showed an upward trend from 2006 to 2021,and the annual growth was statistically significant(t=4.5,P<0.001) . The proportion of road traffic injury cases decreased from 2006 to 2021,witha statistically significant annual decrease (t=-6.0,P<0.001) . Conclusions Falls of children and theelderly,animal injuries of people aged 18-44 years old are the priority fields of injury preventionin Qingyang District. Targeted prevention and contro

关 键 词：伤害 趋势变化 Joinpoint回归分析 

分 类 号：R195[医药卫生—卫生统计学]