工伤中骨关节多发性创伤的流行病学分析与干预策略研究

An Epidemiological Analysis and Intervention Strategy Study on multiple-injuries of bone and jiont

目的分析近1年深圳市龙岗区工伤中骨关节多发性创伤的流行病学特征，找出可能造成工伤中骨关节多发性创伤的危险因素，并提出干预策略。方法对2008年8月至2009年7月在深圳市社保局工伤鉴定办鉴定的工伤骨关节多发性创伤病例进行流行病学分析。结果在226例骨关节多发性创伤病例中，男性占87％（197例）。20—40岁组为主要发病年龄组（占82％），受伤种类以高处坠落、摔倒、重物砸伤、车祸及机器压伤为主，建筑、家私业（木工）为发生骨关节多发性创伤的主要行业。结论为提高干预效果，针对深圳市龙岗区工伤中骨科多发性创伤的流行病学特点，建议采用工程干预、经济干预、强制干预和教育干预“四管”齐下的综合干预策略。

Objective To illustrate the possible risk factors and put forward to intervention strategies for multiple-injuries of bone and jiont through analyzing the epidemiological characteristics of multiple-injuries of bone and jiont in recent one years in Longgang District of Shenzhen. Methods An epidemiological study was carried out on multiple-injuries of bone and jiont cases in Shenzhen IESS from august,2008 to July,2009. Resuits Male patients account for 87% （2197 cases） in 226 multiple-injuries of bone and joint＇ S patients. 82% cases were in age group 20 - 40. Trauma of extrusion, incision and rupture accounted for most of the cases and muhiple-injuries of bone and jiont was likely to happen in architecture and furniture industry. Artificial and e- quipment factors were primary cause of injury. Conclusion In order to enhance intervention effect, in consideration of epidemiological characteristics in Longgang District, synthesized intervention strategies including engineering, economical, compulsory and educational intervention were suggested.