2011年上海松江社区卫生服务中心门诊监测伤害病例分析

Analysis on Injuries in Surveillance in Community Health Service Centers, Songjiang District, Shanghai, 2011

目的 了解2011年上海市松江区社区卫生服务中心门诊监测伤害病例特征，为制定本区伤害预防控制策略提供依据。方法收集分析2011年上海松江14家社区卫生服务中心门诊伤害监测报告病例，采用上海市统一的报告卡填报。结果共收集有效病例18453例，男性病例多于女性，男女性别比分别为2.07∶1。伤害发生原因居前三位依次为刀/锐器伤(30.62%)、跌倒/坠落(29.60%)、钝器伤(28.00%)，伤害发生地点主要为工业和建筑场所(41.62%)以及家(25.62%)，伤害发生时的主要活动为有偿工作(50.42%)、休闲活动(24.90%)、家务/学习(14.53%)、驾乘交通工具(8.02%)，伤害病例以非故意伤害(97.98%)、轻微伤(86.69%)为主；伤害发生的高峰时间为7：00-10：00。结论2011年松江区伤害监测病例男性多于女性，主要伤害原因为刀/锐器伤、跌倒/坠落、钝器伤，以非故意伤害和轻微伤为主。

Objective To analyze the injury charactertstics, using data from Outpatient monitoring of community health service center，2011, to develop a injuryprevention strategy. Methods The unifiedrecord cards were used to register new injury cases in 14 community health service centers in Songjiang. Results Relative information on 18453 cases were analyzed. The number of male cases were more than the famales(2.07:1). The top three causes of injuries were as follow：knife/sharp injuries(30.62%) , falls(29.60%) ,and blunt injuries(28.00%). The major places where injuries occurred were：industrial and construction sites(41.62%) and at home(25.62%), At work (50.24%),recreationac tivities (24.90%),housework/study(14.53%), driving vehicles(19.55%) were major activities when injuries took place. Mostinjury cases were unintentional(97.98%) and mild(86.69%). Rush hours that caused injuries to happen were between 7 to10 AM. Conclusion Male injury cases were more than females, knife/sharp injuries, falls and blunt injuries were the major causes, with most of them were unintentional andminor.