2018-2023年米易县哨点医院伤害监测病例分布特征分析  

Distribution characteristics and trend analysis of injury cases in sentinel hospitals of Miyi County from 2018 to 2023

作　　者：宋务露 刘慧 罗欢 廖长春 曹珊 杨海 SONG Wulu;LIU Hui;LUO Huan;LIAO Changchun;CAO Shan;YANG Hai(Miyi County Center for Disease Prevention and Control,Panzhihua 617200,Sichuan Province,China;Panzhihua Center for Disease Control and Prevention,Panzhihua 617000,Sichuan Province,China;Miyi County Hospital of Traditional Chinese Medicine,Panzhihua 617200,Sichuan Province,China)

机构地区：[1]米易县疾病预防控制中心,四川米易617200 [2]攀枝花市疾病预防控制中心,四川攀枝花617000 [3]米易县中医医院,四川米易617200

出　　处：《预防医学情报杂志》2024年第8期1016-1022,共7页Journal of Preventive Medicine Information

摘　　要：目的了解2008—2023年米易县伤害哨点监测病例的分布特征和变化趋势,为制定伤害预防和控制策略提供依据。方法收集2018—2023年米易县哨点医院所有门急诊首诊伤害患者监测数据,采用描述性流行病学方法分析伤害发生分布特征,分类资料采用SPSS 26.0软件进行卡方检验和统计分析,用Joinpoint 4.7.0.0软件分析变化趋势,检验水准为α=0.05。结果2018—2023年米易县累计报告伤害病例104859例,其中男性63688例(60.74%),女性41171例(39.26%),男女性别比为1.55∶1。伤害主要发生在18~<45岁和45~<65岁年龄组,分别占33.38%和30.88%。从伤害发生原因来看,前3位的伤害发生原因依次是跌倒(57.09%)、锐器伤(10.86%)和钝器伤(9.2%),跌倒为首位伤害发生原因。从伤害发生地点来看,前3位依次是家中(45.96%)、公路/街道(16.38%)和公共居住场所(10.80%)。伤害临床信息显示,伤害性质前3位依次是挫伤/擦伤(34.66%)、锐器伤/咬伤/开放伤(31.02%)和骨折(14.30%)。趋势分析显示,2018—2023年米易县男性和女性伤害病例发生数均呈上升趋势(APC分别为14.06%和18.21%),从不同年龄组来看,除18~<45岁年龄组外,<6岁、6~<18岁、45~<65岁和≥65岁组伤害病例发生数均呈上升趋势(APC分别为12.56%、22.66%、17.28%和20.16%),从伤害发生原因来看,跌倒伤害发生数呈上升趋势(APC为20.22%),趋势变化有统计学意义(P=0.02)。结论全人群尤其是6岁以下和65岁及以上老年人跌倒、18~<65岁锐器伤、6~<65岁钝器伤是米易县伤害预防的优先领域,应采取有针对性的措施预防控制伤害发生。Objective To understand the distribution characteristics and changing trend of injury cases in sentinel surveillance in Miyi county of Panzhihua from 2018 to 2023,and to provide the basis for formulating injury prevention and control strategies.Methods Monitoring data of all first-time injury patients in the outpatient and emergency departments of Miyi County Sentinel Hospital from 2018 to 2023 were collected,descriptive epidemiological methods was used to analyze the distribution characteristics of injury occurrence,SPSS 26.0 chi square test was used for statistical analysis of classification data,Joinpoint software was used to analyze the trend of change,and test the levelα=0.05.Results From 2018 to 2023,a total of 104859 injury cases were reported in Miyi county,including 63688 males(60.74%)and 41171 females(39.26%),with a gender ratio of 1.55∶1.Injuries mainly occur in the age groups of 18-44 and 45-64,accounting for 33.38%and 30.88%,respectively.From the perspective of injury causes,the top three causes of injury were falls(57.09%),sharp instrument injuries(10.86%),and blunt instrument injuries(9.2%),with falls being the leading cause of injury.From the perspective of injury locations,the top three were home(45.96%),road/street(16.38%),and public residential areas(10.80%).According to clinical information on injuries,the top three types of injuries were contusions/abrasions(34.66%),sharp injuries/bites/open injuries(31.02%),and fractures(14.30%).Trend analysis showed that from 2018 to 2023,the number of male and female injury cases in Miyi dounty showed an upward trend(APC was 14.06%and 18.21%,respectively).From different age groups,except for the 18 to<45 age group,the number of injury cases in the<6,6 to<18,45 to<65,and≥65 age groups showed an upward trend(APC was 12.56%,22.66%,17.28%,and 20.16%,respectively).From the cause of injury,the number of fall injuries showed an upward trend(APC was 20.22%),and the difference of trend change was statistically significant(P=0.02).Conclusions Falls in the entir

关 键 词：伤害 分布特征 变化趋势 

分 类 号：R195[医药卫生—卫生统计学]