2015-2017年湖南省伤害监测点医院门/急诊居民伤害流行特征
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摘要
目的分析湖南省居民伤害发生的原因以及流行病学特征,为制定湖南省居民伤害干预措施提供科学依据。方法采用Excel 2007软件和SPSS 18.0软件进行伤害监测数据的整理和分析。结论三年共收集有效病例107 754例,男女性别比为1.65∶1。伤害发生原因前三位分别是跌倒坠落(36.0%)、机动车车祸(20.6%)以及刀锐器伤(11.8%)。伤害发生地点主要是公路(30.9%)和家中(28.3%)。伤害发生时的活动前三位分别是休闲活动(24.7%)、驾车(17.6%)与工作(16.4%)。伤害发生意图以非故意(93.2%)为主,伤害发生程度主要为轻度伤害(74.3%)。结论 2015-2017年湖南省伤害监测点哨点医院门/急诊居民伤害人数呈逐年增加的趋势,男性高于女性,应重点加强对跌倒坠落和机动车车祸开展系统研究和实施干预措施。
Objective To analyze the causes and epidemiological characteristics of injury in Hunan Province, so as provide scientific basis for the development of intervention measures of injury. Methods The Excel 2007 software and SPSS 18.0 software were used to organize and analyze the injury surveillance system data. Results A total of 107 754 effective cases were collected in three years, and the male-female ratio was 1.65:1. The top three causes of injury were falls(36.0%), motor vehicle accident(20.6%) and sharp knife injury(11.8%). The locations of injuries were mainly roads(30.9%) and homes(28.3%). The top three activities at the time of injury were leisure activities(24.7%), driving(17.6%) and work(16.4%). 93.2% of injury was unintentional injury, and the degree of injury was mainly mild injury(74.3%). Conclusions The number of injuries is increasing year by year. The number of male injuries is more than that of females. Systematic research and intervention measures should focus on falls and motor vehicle accident.
Objective To analyze the causes and epidemiological characteristics of injury in Hunan Province, so as provide scientific basis for the development of intervention measures of injury. Methods The Excel 2007 software and SPSS 18.0 software were used to organize and analyze the injury surveillance system data. Results A total of 107 754 effective cases were collected in three years, and the male-female ratio was 1.65:1. The top three causes of injury were falls(36.0%), motor vehicle accident(20.6%) and sharp knife injury(11.8%). The locations of injuries were mainly roads(30.9%) and homes(28.3%). The top three activities at the time of injury were leisure activities(24.7%), driving(17.6%) and work(16.4%). 93.2% of injury was unintentional injury, and the degree of injury was mainly mild injury(74.3%). Conclusions The number of injuries is increasing year by year. The number of male injuries is more than that of females. Systematic research and intervention measures should focus on falls and motor vehicle accident.
引文
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[5] 刘加吾,付中喜,袁皓瑜,等.2006-2009年湖南省居民伤害哨点监测结果分析 [J].中华疾病控制杂志,2010,14(10):1018-1021.Liu JW,Fu ZX,Yuan HY,et al.Analysis of injury surveillance data from sentry hospitals in Hunan Province from 2006 to 2009 [J].Chin J Dis Control Prev,2010,14(10):1018-1021.
[6] 付中喜,刘加吾,李光春,等.2011年湖南省居民伤害哨点监测结果分析[J].实用预防医学,2015,22(6):727-729.DOI:10.3969/j.issn.1006-3110.2015.06.030.Fu ZX,Liu JW,Li GC,et al.Analysis on monitoring results of injury sentinel in Hunan Province in 2011 [J].Pract Prev Med,2015,22(6):727-729.DOI:10.3969/j.issn.1006-3110.2015.06.030.
[7] 耳玉亮,段蕾蕾,叶鹏鹏,等.2014年全国伤害监测系统老年人非故意伤害病例特征分析 [J].中国健康教育,2016,32(4):312-317.DOI:10.16168/j.cnki.issn.1002-9982.2016.04.005.Er YL,Duan LL,Ye PP,et al.Analysis on the characteristics of unintentional injuries among the elderly from Chinese national injury surveillance system,2014 [J].Chin J Health Education,2016,32(4):312-317.DOI:10.16168/j.cnki.issn.1002-9982.2016.04.005.
[8] 段蕾蕾,邓晓,汪媛,等.2010年全国伤害监测病例分布特征分析 [J].中国健康教育,2012,28(4):244-247.DOI:10.16168/j.cnki.issn.1002-9982.2012.04.005.Duan LL,Deng X,Wang Y,et al.Analysis on the characteristics of injuries from the Chinese national injury surveillance system,2010 [J].Chin J Health Education,2012,28(4):244-247.DOI:10.16168/j.cnki.issn.1002-9982.2012.04.005.
[9] 朱骏,杨亚明,张徐军,等.2012-2013年宜兴市社区伤害监测病例的特征分析 [J].伤害医学(电子版),2015,4(3):13-18.DOI:10.3868/j.issn.2095-1566.2015.03.003.Zhu J,Yang YM,Zhang XJ,et al.Epidemiological analysis on the injury patients reported from injury surveillance sentinels in the communities of Yixing City,during 2012-2013 [J].Injury Medicine(Electronic Edition),2015,4(3):13-18.DOI:10.3868/j.issn.2095-1566.2015.03.003.
[10] 王玉林,徐奇,胡蝶.2011-2015年上海市某社区卫生服务中心门诊伤害分析 [J].健康教育与健康促进,2018,13(3):254-258.DOI:10.16117/j.cnki.31-1974/r.201803019.Wang YL,Xu Q,Hu D.Analysis on the characteristics of the injures in one communication of Shanghai,2011-2015 [J].Health Education and Health Promotion,2018,13(3):254-258.DOI:10.16117/j.cnki.31-1974/r.201803019.
[11] 吴文锋,麦充志,孙立梅,等.农村居民伤害现况调查 [J].疾病控制杂志,2004,8(6):586-587.DOI:10.3969/j.issn.1674-3679.2004.06.036.Wu WF,Mai CZ,Sun LM,et al.A survey on present situation of injuries among rural residents [J].Chin J Dis Control Prev,2004,8(6):586-587.DOI:10.3969/j.issn.1674-3679.2004.06.036.
[12] 李静,刘苹,隋维华,等.某市5年间伤害住院病例流行病学特征分析 [J].中华疾病控制杂志,2011,15(7):608-610.Li J,Liu P,Sui WH,et al.Epidemiological characteristics of injury hospitalization in Kunming City from 2003 to 2007 [J].Chin J Dis Control Prev,2011,15(7):608-610.
[13] 李中杰,陈曙旸,周静,等.25家综合性医院急诊科中毒自杀未遂病例分析 [J].中华流行病学杂志,2004,25(4):285-287.DOI:10.3760/j.issn:0254-6450.2004.04.003.Li ZJ,Chen SY,Zhou J,et al.The study of poisoning-suicide-attempted patients in emergency departments of 25 hospitals in China [J].Chin J Epidemiol,2004,25(4):285-287.DOI:10.3760/j.issn:0254-6450.2004.04.003.
[14] 杜文聪,杨婕,周金意,等.2006-2014年江苏省两地区医院伤害监测病例分布特征分析 [J].中华疾病控制杂志,2018,22(5):467-471.DOI:10.16462/j.cnki.zhjbkz.2018.05.009.Du WC,Yang J,Zhou JY,et al.Distribution and characteristics of injury-related cases from injury surveillance system in rural and urban areas in Jiangsu from 2006 to 2014 [J].Chin J Dis Control Prev,2018,22(5):467-471.DOI:10.16462/j.cnki.zhjbkz.2018.05.009.
[15] 颜玮,朱丽萍,陈轶英,等.2009-2012年江西省哨点医院伤害监测病例分布特征分析 [J].江西医药,2013,48(5):456-458.DOI:10.3969/j.issn.1006-2238.2013.05.041.Yan W,Zhu LP,Chen YY,et al.Analysis of distribution characteristics of injury surveillance cases in sentinel hospital of Jiangxi Province from 2009 to 2012 [J].Jiangxi Medical Journal,2013,48(5):456-458.DOI:10.3969/j.issn.1006-2238.2013.05.041.
[16] 周鹏,姜玉,胡越,等.社区老年女性伤害特征及影响因素分析[J].伤害医学(电子版),2015,4(2):14-18.DOI:10.3868/j.issn.2095-1566.2015.02.004.Zhou P,Jiang Y,Hu Y,et al.Characteristics of injuries in elderly women and influencing factors [J].Injury Medicine(Electronic Edition),2015,4(2):14-18.DOI:10.3868/j.issn.2095-1566.2015.02.004.
[2] 陈竺.全国第三次死因回顾抽样调查报告 [M].北京:中国协和医科大学出版社,2008.Chen Z.The third national death cause review sample survey report [M].Beijing:China Union Medical University Press,2008.
[3] 曹卫华,吴涛,安涛,等.1990～1997年中国城乡人群伤害死亡分析 [J].中华流行病学杂志,2000,21(5):327-329.DOI:10.3760/j.issn:0254-6450.2000.05.002.Cao WH,Wu T,An T,et al.Study on the mortality of injury in Chinese population in urban and rural areas from 1990 to 1997 [J].Chin J Epidemiol,2000,21(5):327-329.DOI:10.3760/j.issn:0254-6450.2000.05.002.
[4] 马文军,许燕君,张玉润.广东省居民死亡模式和疾病负担研究 [M].广州:广东经济出版社,2008.Ma WJ,Xu YJ,Zhang YR.Study on death patterns and disease burden of residents in Guangdong Province [M].Guangzhou:Guangdong Economic Publishing House,2008.
[5] 刘加吾,付中喜,袁皓瑜,等.2006-2009年湖南省居民伤害哨点监测结果分析 [J].中华疾病控制杂志,2010,14(10):1018-1021.Liu JW,Fu ZX,Yuan HY,et al.Analysis of injury surveillance data from sentry hospitals in Hunan Province from 2006 to 2009 [J].Chin J Dis Control Prev,2010,14(10):1018-1021.
[6] 付中喜,刘加吾,李光春,等.2011年湖南省居民伤害哨点监测结果分析[J].实用预防医学,2015,22(6):727-729.DOI:10.3969/j.issn.1006-3110.2015.06.030.Fu ZX,Liu JW,Li GC,et al.Analysis on monitoring results of injury sentinel in Hunan Province in 2011 [J].Pract Prev Med,2015,22(6):727-729.DOI:10.3969/j.issn.1006-3110.2015.06.030.
[7] 耳玉亮,段蕾蕾,叶鹏鹏,等.2014年全国伤害监测系统老年人非故意伤害病例特征分析 [J].中国健康教育,2016,32(4):312-317.DOI:10.16168/j.cnki.issn.1002-9982.2016.04.005.Er YL,Duan LL,Ye PP,et al.Analysis on the characteristics of unintentional injuries among the elderly from Chinese national injury surveillance system,2014 [J].Chin J Health Education,2016,32(4):312-317.DOI:10.16168/j.cnki.issn.1002-9982.2016.04.005.
[8] 段蕾蕾,邓晓,汪媛,等.2010年全国伤害监测病例分布特征分析 [J].中国健康教育,2012,28(4):244-247.DOI:10.16168/j.cnki.issn.1002-9982.2012.04.005.Duan LL,Deng X,Wang Y,et al.Analysis on the characteristics of injuries from the Chinese national injury surveillance system,2010 [J].Chin J Health Education,2012,28(4):244-247.DOI:10.16168/j.cnki.issn.1002-9982.2012.04.005.
[9] 朱骏,杨亚明,张徐军,等.2012-2013年宜兴市社区伤害监测病例的特征分析 [J].伤害医学(电子版),2015,4(3):13-18.DOI:10.3868/j.issn.2095-1566.2015.03.003.Zhu J,Yang YM,Zhang XJ,et al.Epidemiological analysis on the injury patients reported from injury surveillance sentinels in the communities of Yixing City,during 2012-2013 [J].Injury Medicine(Electronic Edition),2015,4(3):13-18.DOI:10.3868/j.issn.2095-1566.2015.03.003.
[10] 王玉林,徐奇,胡蝶.2011-2015年上海市某社区卫生服务中心门诊伤害分析 [J].健康教育与健康促进,2018,13(3):254-258.DOI:10.16117/j.cnki.31-1974/r.201803019.Wang YL,Xu Q,Hu D.Analysis on the characteristics of the injures in one communication of Shanghai,2011-2015 [J].Health Education and Health Promotion,2018,13(3):254-258.DOI:10.16117/j.cnki.31-1974/r.201803019.
[11] 吴文锋,麦充志,孙立梅,等.农村居民伤害现况调查 [J].疾病控制杂志,2004,8(6):586-587.DOI:10.3969/j.issn.1674-3679.2004.06.036.Wu WF,Mai CZ,Sun LM,et al.A survey on present situation of injuries among rural residents [J].Chin J Dis Control Prev,2004,8(6):586-587.DOI:10.3969/j.issn.1674-3679.2004.06.036.
[12] 李静,刘苹,隋维华,等.某市5年间伤害住院病例流行病学特征分析 [J].中华疾病控制杂志,2011,15(7):608-610.Li J,Liu P,Sui WH,et al.Epidemiological characteristics of injury hospitalization in Kunming City from 2003 to 2007 [J].Chin J Dis Control Prev,2011,15(7):608-610.
[13] 李中杰,陈曙旸,周静,等.25家综合性医院急诊科中毒自杀未遂病例分析 [J].中华流行病学杂志,2004,25(4):285-287.DOI:10.3760/j.issn:0254-6450.2004.04.003.Li ZJ,Chen SY,Zhou J,et al.The study of poisoning-suicide-attempted patients in emergency departments of 25 hospitals in China [J].Chin J Epidemiol,2004,25(4):285-287.DOI:10.3760/j.issn:0254-6450.2004.04.003.
[14] 杜文聪,杨婕,周金意,等.2006-2014年江苏省两地区医院伤害监测病例分布特征分析 [J].中华疾病控制杂志,2018,22(5):467-471.DOI:10.16462/j.cnki.zhjbkz.2018.05.009.Du WC,Yang J,Zhou JY,et al.Distribution and characteristics of injury-related cases from injury surveillance system in rural and urban areas in Jiangsu from 2006 to 2014 [J].Chin J Dis Control Prev,2018,22(5):467-471.DOI:10.16462/j.cnki.zhjbkz.2018.05.009.
[15] 颜玮,朱丽萍,陈轶英,等.2009-2012年江西省哨点医院伤害监测病例分布特征分析 [J].江西医药,2013,48(5):456-458.DOI:10.3969/j.issn.1006-2238.2013.05.041.Yan W,Zhu LP,Chen YY,et al.Analysis of distribution characteristics of injury surveillance cases in sentinel hospital of Jiangxi Province from 2009 to 2012 [J].Jiangxi Medical Journal,2013,48(5):456-458.DOI:10.3969/j.issn.1006-2238.2013.05.041.
[16] 周鹏,姜玉,胡越,等.社区老年女性伤害特征及影响因素分析[J].伤害医学(电子版),2015,4(2):14-18.DOI:10.3868/j.issn.2095-1566.2015.02.004.Zhou P,Jiang Y,Hu Y,et al.Characteristics of injuries in elderly women and influencing factors [J].Injury Medicine(Electronic Edition),2015,4(2):14-18.DOI:10.3868/j.issn.2095-1566.2015.02.004.