肥西县急诊伤害流行病学特征分析

Analysis of Epidemiological Characteristics of Injury in Emergency Departments in Feixi County

目的了解肥西县急诊伤害发生的特点和规律，为开展伤害预防与控制提供科学依据。方法采取分层随机整群抽样，抽取肥西县县级综合医院、乡镇中心卫生院和乡镇普通卫生院各1所。研究2005年在3所医院急诊室就诊的所有初诊伤害患者。结果共调查3009名伤害患者，其中男性1949名（64．77％），女性1060名（35．23％），性别比1．84：1；平均年龄为（34．8±18）岁；职业以农民（48．16％）、学生（20．97％）和工人（12．33％）为主；伤害多发生于公路／街道、家中和工作场所；时间多集中在上午9—10时和下午2—3时；导致伤害发生的原因主要为跌落（28．05％）、交通事故（26．79％）、钝器伤（21．07％）；以意外伤害为主（81．79％）。结论交通伤害、儿童伤害和农民职业伤害已成为肥西县伤害预防控制的重点领域。

Objective To understand the characteristics of injuries in patient visited in a emergency department in hospital, and then provide the basis for evidence - based strategic planning and evaluation in injury prevention and control. Methods 3 hospitals were sampled by stratified sampling, and the data of all injured patients visited the 3 hospitals in 2005 were analyzed. Results During the study period, 3009 injured patients were collected. The ratio of male to female was 1.84：1. The average age was （34.8 18） . The rank of the injured patient＇s occupations was： farmer （48.16% ）, student （20.97% ） and worker （ 12.33% ）. Most injures occurred in highway/street, home and workplace, and in 9 ± 10AM and 2 - 3 PM. The cause of injures were fall （ 28.05% ） and traffic injury （26.79%） and blunt force （ 21.07% ）. Unintentional injured patients composed of 81.79% of all cases. Conclusions The traffic injury, child injury and occupation injury were the priority areas in injury prevention and control.