2021-2023年新疆维吾尔自治区石河子市某三甲医院跌倒伤害病例特征分析  

Epidemiological characteristics of fall-caused injury cases in a grade III hospital in Shihezi,Xinjiang Uygur Autonomous Region,2021−2023

作　　者：何礼 高春龙 孔庆丽 李海燕 He Li;Gao Chunlong;Kong Qingli;Li Haiyan(School of Medicine,Shihezi University,Shihezi 832003,Xinjiang,China;The First Affiliated Hospital of Shihezi University,Shihezi 832000,Xinjiang,China)

机构地区：[1]石河子大学医学院,新疆石河子832003 [2]石河子大学第一附属医院,新疆石河子832000

出　　处：《疾病监测》2025年第1期127-132,共6页Disease Surveillance

基　　金：石河子大学2023年度自主支持科研项目(No.ZZZC2023020);石河子大学第一附属医院2023年院级科技计划项目(No.GL2023048)。

摘　　要：目的了解2021-2023年新疆维吾尔自治区石河子市跌倒伤害病例流行病学特征,为制定针对性的预防措施提供科学依据。方法收集2021-2023年石河子市某三甲医院的跌倒伤害患者病例资料,如一般信息,伤害事件基本情况和临床信息,采用χ^(2)检验进行差异分析。用圆形分布的方法分析全年中跌倒伤害发病高峰时间及高峰时间范围。结果共调查9243例报告病例,男女性别比为1.39∶1,年龄分布以15~29岁年龄组(22.59%)为主,小学文化占比最多(19.87%),职业以在校学生最多(28.30%)。跌倒伤害报告病例多集中在每年的1月30日至8月30日,报告病例数在5月12日达到顶峰;24 h中高峰时段为10:39-23:54,在17:16报告病例数最多。60岁及以上中、重度跌倒伤害病例集中在4月15日至12月10日,报告病例数在8月12日达到高峰;24 h中高峰时段为7:23-18:14,在12:49报告病例数最多。伤害部位多见于头颈部(32.49%),发生地点以家中为最多见(44.29%),常见于休闲活动(45.70%)。结论跌倒伤害问题是石河子市发生伤害的主要原因,应针对不同人群、时间和地点,制定相应的预防策略和干预措施。Objective To investigate the epidemiological characteristics of injury caused by fall in Shihezi,Xinjiang Uygur Autonomous Region,from 2021 to 2023,and provide evidence for development of targeted prevention measures.MethodsThe data of fall-caused injury cases were collected from a grade III hospital in Shihezi from 2021 to 2023,including general information,basic information of injury events and clinical information,and the difference was analyzed by χ^(2)test.The peak time and peak time range of fall-caused injury were analyzed by circular distribution method.Results A total of9243 fall-caused injury cases were investigated,the male to female ratio of the cases was 1.39:1.The cases in age group 15-29 years accounted for the highest proportion(22.59%),the cases with education level of primary school accounted for the highest proportion(19.87%),and the proportion of the cases in primary school students was highest(28.30%).Most reported cases of fall-caused injury occurred from January 30 to August 30 each year,and the reported case count reached the peak on May 12.The cases mainly occurred during 10:39-23:54 with the incidence peak at 17:16 in a day.The moderate-severe fall-caused injury cases in age group≥60 years mainly occurred from April 15 to December 10,and the reported case count peaked on August 12,and the cases mainly occurred during 7:23-18:14 with the incidence peak at 12:49 in a day.The most common injury sites were head and neck(32.49%),the most common place where fall occurred was home(44.29%),and the most common cause was leisure activity(45.70%).Conclusion Fall was the main cause of injury in Shihezi.Corresponding prevention strategies and intervention measures should be developed according to the fall-caused injury in different populations,times and places.

关 键 词：跌倒伤害 流行病学监测 圆形分布 预防 

分 类 号：R211[医药卫生—中医学] R181