2006～2009年深圳市医院伤害监测

Epidemiological survey of emergency department-based injury monitoring in Shenzhen from 2006 to 2009

目的分析深圳市市伤害发生的分布特点及流行规律,为制定伤害预防与控制策略提供依据。方法采用分层随机抽样,分别抽取了深圳市级医院、区级医院、镇级医院各一家,以2006年1月～2009年12月到上述3所医院急诊科就诊的伤害首诊患者作为研究对象。结果 2006～2009年深圳市伤害监测系统共报告病例217 786例,漏报率5.68%,卡片错填率6.06%;性别比2.03;以15～45岁组居多(占72.12%),平均年龄(27.74±14.92)岁;以工人(28.87%)、商业/服务业(24.68%)和办事人员(10.53%)为主。伤害发生原因主要为跌落(27.88%)、钝器伤(24.27%)及动物伤(16.88%);伤害程度以轻度为主(占86.56%),多发于上肢(36.50%);伤害多发生于家中(26.69%)、工业建筑场所(20.68%)、公路/街道(20.51%);伤害部位以上肢(36.50%)、下肢(23.01%)和头部(22.12%)为主。结论医院急诊伤害监测真实反映伤害发生情况,是获得深圳市非致死性伤害信息的重要来源。应针对职业伤害开展有效的预防与控制策略与措施。

Aim To survey epidemiological characteristics of injuries in shenzhen. Methods The data concerning injuries in Shenzhen in 2006-2009 were analyzed. Results There 217 785 injured patients were reported. The missing report rate were 5.68%. The male to female ratios was 2.03. rnost of the injuries occurred to age＇group of from 15 to 45 years old（72.12%）. Most of the injuries occurred to worker（28.87%）,folloed by business/service（24.68%）and staff（10.53%）. The leading injury cause were falls（27.88%）,hit by blunt objects（24.27%）,animal bite（16.88%）. With regard to extent of injuries 86.56% of the injuries were light ones. The location of injuries were as the follows：At home （26.69%）,industrial and construction sites（20.51%）and high way/street（20.51%）. The parts of injury were upper limbs（36.50%）,lower limbs（23.01%） and head（22.12%）. Conclusion Effective measures be taken to prevention and control the incidence of injury.