厦门市2009年医院监测伤害流行病学特征

The injury epidemiological characteristics of hospital monitoring in Xiamen City in 2009

目的了解厦门市伤害的流行特征及发生特点,为开展伤害预防控制工作提供依据。方法以厦门市湖里区二级以上医院为哨点监测医院。收集2009年1-12月到哨点医院首次就诊的所有被诊断为伤害的病例,用统一的《全国伤害监测报告卡》进行登记报告。结果 2009年共报告伤害病例总人数55 692人,前6位伤害原因依次为跌倒/坠落（27.74%）、钝器伤（26.17%）、刀/锐器伤（21.21%）、机动车车祸（12.89%）、动物伤（6.12%）和非机动车车祸（3.86%）;伤害发生地点主要在家中（30.46%）、公路/街道（28.17%）以及工业和建筑场所（16.16%）;伤害发生高峰期为7-9月份;伤害发生以休闲活动受伤占多（46.22%）,其次是有偿工作（19.24%）;伤害形式以非故意伤害为主（87.77%）,且多为轻度伤害（73.94%）。结论青壮年是伤害防治的重点人群,在加强安全生产保障预防措施来降低职业伤害的同时,还应提高自我保护意识,创造安全的生活环境。

Objective To learn the epidemiology and occurrence of injury in Xiamen City.Methods Using second or higher level hospitals as sentinel surveillance hospitals.People diagnosed as injury in the first visit of sentinel hospitals were recruited for the survey from January to December 2009,with a unified ＂national injury surveillance report cards＂ for monitoring.Results The total number of injury cases was 55 692.The top 6 causes were falls（27.74%）,blunt injury（26.17%）,knife/sharp injuries（21.21%）,motor vehicle accidents（12.89%）,animal injuries（6.12%） and non-motor vehicle accident（3.86%）.The injuries occurred mainly at home（30.46%）,followed by road / street（28.17%）,addition to industrial and construction sites（16.16%）.The peak time of injury was 7～9 months.Activities during the events were leisure activities（46.22%） accounted for the highest,followed by paid work（19.24%）;unintentional injuries was dominant（87.77%）,and most were mild injuries（73.94%）.Conclusions The focus of injury prevention and control groups are young people,while strengthening the protection of safety measures to reduce occupational injury,we shoud raise awareness of self protection,to create a safe living environment.