2007-2009年厦门市湖里区伤害监测结果分析

Analysis on Surveillance of Injury in Huli District of Xiamen City in 2007-2009

目的掌握厦门市湖里区伤害的发生、发展规律,为制定防制策略及相应的卫生政策提供科学依据。方法用分层随机抽样方法,抽取辖区内二级、三级医院各1家为哨点监测医院,收集发生于2007年1月1日-2009年12月31日伤害病例。结果 2007-2009年湖里区共报告伤害病例140 147例,男女性别比1.98:1;伤害发生前3位类型分别是钝器伤40 236例(28.71%)、跌倒/坠落35 798例(25.54%)、刀/锐器伤32 006例(22.84%);主要人群为生产运输设备操作及有关人员(34.33%),商业服务业人员(20.47%)、办事和有关人员(10.23%);伤害主要威胁25～44岁年龄组人群(48.31%)。结论青壮年是伤害防治的重点人群,预防和控制职业伤害是干预的重点,加强生产安全保护措施和创造安全的环境是主要的预防措施。

Objective To analyze the incidence and development of injury in Huli District,Xiamen City and provide the scientific basis for prevention strategies and health policy making.Methods Stratified random sampling was adopted in the study.The analysis was conducted among injury cases from sentinel surveillance hospitals between January 1,2007 and December 31,2009.Results In total,140 147 cases were reported in Huli District.Sex ratio was 1.98：1.Leading causes of injuries were blunt injury（40,236 cases,28.71%）,fall / fall（35 798 cases,25.54%）,knife / sharp injuries（32 006 cases,22.84%）.The populations of injury focused on transport equipment operators（34.33%）,business services（20.47%）,clerical offices（10.23%）.People aged 25～44 years（48.31%） were threat the main damage.Conclusion Young people were the focus population of injury prevention.Prevention and control of occupational injuries was the focal point of intervention.To take production protection and to create a safe work environment was the main preventive measure.