H地区骑自行车者伤害的动态研究

Study on the Injuries of Bicyclists in H Area

[目的 ]分析H地区自行车伤害的发生率和死亡率及其动态变化 ,为开展伤害预防提供依据。 [方法 ]采用1994年到 1998年公安部交通管理局及部分H地区公安局的道路交通事故统计数据 ,及H地区人口统计资料进行分析。[结果 ]自行车伤害在不同交通方式伤害中居首位 ,其伤害的死亡率最高值为 2 5 82 /10万 ,是美国的 8倍多。其中至少有 61 5 %的死亡者为头部损伤 ,其中大部分 (74 6% )由头部与水泥或柏油路面碰撞引起。所有的病人无一在受伤时佩带头盔 ,而且在所有骑自行车的人群中都没有使用头盔。 [结论 ]在H地区同自行车相关的头部损伤是一个严重的公共卫生问题 ,应尽快建立自行车事故伤的监测系统 ,通过采取立法手段在公众中强制推行佩带头盔同时进行自行车安全教育干预 。

To provide guide to bicyclist injuries prevention and make some intervention,this study explored the morbidity and mortality of bicyclist injuries in H Area,China. Traffic accident statistic data between 1994 and 1998 from H Area Police Bureau and related H Area demographic data were analyzed. Bicyclist injuries were at the top among all injuries from different traffic tools. The highest death rate was up to 2 582/100 000 population,about over eight times higher than that in United States. At least 61 5% of the deceased were due to head injuries,the majority(about 74 6%) of them resulted from head collision with concrete or asphalt road. None of patients wore helmet when injured,and helmet usage among the bicyclist population usually was not practised. [Conclusion] Bicycle related head injury is an important public health issue in H Area,China. The bicycle injury surveillance system must be immediately established. Then the prevention and control program should focus on certain strategies such as enforced using of helmet,injury education,and improving road environment.