2006－2014年松江区户籍居民非致死性伤害监测结果分析

黄丽妹+蔡晋川+翟晓婷+马慧芬

摘 要 目的：了解上海市松江区伤害发生的分布特征及其变化趋势，为制定有效的干预措施提供参考依据。方法：收集2006-2014年上海市松江区医院伤害监测系统中伤害病例，并进行描述性分析。结果：男女伤害发生比例在历年中均大于1；60岁以上老年人伤害发生比例逐年增加；伤害发生原因最多的为跌倒/坠落伤，其次为钝器伤及道路交通伤害；发生地点主要为家中、街道/公路、公共居住场所；伤害发生时的活动大多为休闲活动或驾乘交通工具；受伤部位主要为中上肢、下肢。结论：老年人及中年人的伤害干预可以是下一步工作重点，需要控制的主要伤害原因为跌倒/坠落伤。

关键词 伤害 监测 分析

中图分类号：R181.3+7 文献标识码：A 文章编号：1006-1533（2016）18-0053-04

Analysis of non fatal injury monitoring results of the registered permanent residents of Songjiang District from 2006 to 2014

HUANG Limei， CAI Jinchuan， ZHAI Xiaoting， MA Huifen

（Center for Disease Control and Prevention of Songjiang District， Shanghai 201620， China）

ABSTRACT Objective： To understand the distribution characteristics and changing trend of injury in Songjiang District of Shanghai to provide a reference for the development of the effective intervention measures. Methods： The injury cases were collected in the hospital injury surveillance system of Songjiang District from 2006 and 2014 and descriptively analyzed. Results： The proportion of men and women injuries was greater than 1：1 over the years. Most of the causes of injuries were falling injury， followed by blunt injury and road traffic injury. The places were mainly at the home， in the street / road and public place of residence. The most of the activities were leisure activities or driving vehicles when the injuries occurred. The injured parts were mainly middle of the upper limb and lower limb. Conclusion： The injury intervention of the elderly and middle-aged people can be the focus of the next step， and the main cause that needs to be controlled is fall.

KEY WORDS injury； surveillance； analysis

伤害之所以成为一个重要的公共卫生问题，主要因为其高发生率和高致残率，它不仅消耗着大量的卫生资源，同时也会削弱国民生产力[1-2]。然而，经过实践验证伤害的发生是可以通过一系列预防措施来减低的。在制定预防和控制伤害发生的积极措施前，需要了解伤害发生的分布特征及其变化趋势。本研究收集了上海市松江区2006-2014年户籍居民非致死性伤害的相关数据，来描述该地区伤害发生的特征及变化趋势，为进一步控制和预防伤害的发生提供一定的参考信息。

1 资料与方法

1.1 资料

收集数据来源于上海市伤害监测系统中医院伤害监测系统松江区2006-2014年间门（急）诊监测到的所有伤害病例。……