2009年山东省住院伤害监测结果分析

Analysis of hospital's injury surveillance data in Shandong Province,2009

目的了解山东省伤害的流行病学特征,为伤害的预防与控制提供依据。方法在全省选取6个监测点,每个监测点选取5家哨点医院,采用统一制定的伤害监测报告卡对住院伤害患者进行登记。结果 2009年累计收集伤害报告卡15 529张。伤害监测患者男女性别比为2.33∶1;年龄构成以40-岁（40.0%）为主,主要的伤害机制是运输伤害事件（5 791例,占37.3%）、绊倒/摔倒/滑倒（2 584例,占16.6%）、接触人（2 099例,13.5%）,运输伤害事件是80-岁年龄组伤害的首位原因,绊倒/摔倒/滑倒是80-岁年龄组的主要伤害原因。在伤害意图上,患者以意外事故（12 853例,占82.8%）为主。结论目前伤害仍是山东省一个严重的公共卫生问题,应制定切实可行的预防措施,有针对性的开展预防控制工作,以减少各种类型伤害的发生。

Objective To investigate the epidemiological features of injury in Shandong Province,and provide evidence for the effective prevention and control of injury.Methods Thirty sentinel hospitals were selected in 6 surveillance areas,and the unified record card was used to register injury cases in those hospitals.Results A total of 15 529 injury case record cards were collected in 2009.The sex ratio of injury cases was 2.33∶1（male∶ female）.The people aged 40～ years accounted for the largest part of the injury cases（40.0%）,and the first 3 injuries were caused by traffic accidents（5 791 cases,37.3%）,slip/trip（2 584 cases,16.6%） and engage（2 099 cases,13.5%）.Traffic accidents were the major cause of injury in young adults,but slip/trip were the primary cause of injury in old folks.The major injuries intention was contingency（12 853 cases,82.8%）.Conclusions Injury is still a serious public health problem in Shandong Province.The feasible prevention and control measures should be developed according to the surveillance behavior factor in order to decrease the incidence of injury.