2009年上海市松江区48630例首诊伤害病例流行病学分析
Analysis of Epidemiological Characteristics of 48 630 Injury Cases Treated for the First Time in 2009, in Songjiang District, Shanghai
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摘要:
目的 探讨上海市松江区人群伤害的流行病学特征,为制定针对性的干预措施提供科学依据。 方法 对2009 年1 月1 日至12 月31 日在松江区3 家伤害监测哨点医院就诊并被诊断为伤害的首诊伤害病例(不包括犬伤伤害病例)按全国伤害监测报告卡填报收集并作数据分析。 结果 2009 年共报告伤害病例48 630 例,男女性别比为1.75:1;非本市户籍人群占伤害发生总数的57.65%,本市户籍人群占42.35%;患者以15~39 岁者为最多(52.86%);生产运输设备操作人员及有关人员所占比例最大(23.76%)。时间分布上以7 至9 月为高发月份(30.03%),月份分布集中时间为7 月中旬。居前3 位的伤害原因依次为跌倒坠落(39.22%)、钝器伤(23.31%)、交通伤害(19.81%);伤害常见发生地点为街道与公路(27.17%)、家或社区(22.27%)、工业与建筑区域(20.15%)。 结论 跌倒坠落、钝器伤、交通伤害为松江区优先防控的伤害种类,应建立有效的综合干预措施以预防不同人群发生各种伤害事件。 Abstract:Objective To investigate the epidemiological characteristics of injury cases in Songjiang district for providing the bases to sponsor measures to prevent and control the occurrence of injury. Methods The medical histories of injury cases treated for the first time(excluding the dog bite injury cases)in Songjiang district Jan 1st 2009 to Dec 31st 2009 were collected. Information was transcripted according to the items on the form of National Sentinel Surveillance of Injury, and then analyzed. Results A total of 48630 cases were analyzed, the sex ratio(male∶female)was 1.75∶1. The largest proportion of injuried people was 15-39 year in age(52.86%). Most of them were transportation equipment operators and relevant workers(23.76%). Permanent residents of Shanghai were accounted for 42.35%, while non-permanent residents were 57.65%. Injury often occurred in Jul to Sep(30.03%), the peak number was at the mid of July. The three leading causes were falls(39.22%), strike by blunt objects(23.31%), and traffic accident(19.81%). The locations of occurrence were street/ traffic road, home/community, industrial and construction sites accounted as:27.17%, 22.27% and 20.15%, respectively. Conclusion The priority list on injury prevention were avoidance of fall, strike by blunt object, and traffic accidents. Corresponding strategy for intervention and comprehensive preventive measures should be implemented to prevent the occurrence of different kinds of injury among various population groups.
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