2011—2012年辽宁省大连市哨点医院急诊伤害监测病例分析

Sentinel surveillance for injury in Dalian,2011-2012

目的了解2011-2012年辽宁省大连市伤害监测病例流行特征,为制定有针对性的伤害综合干预策略提供依据。方法收集大连市3家伤害监测哨点医院2011-2012年填报的全国伤害监测报告卡资料,按照世界卫生组织伤害监测指南分类标准进行归类和统计分析。结果 2011-2012年,共收集伤害病例43 472例,男女性别比为1.83∶1,其中25～44岁年龄组病例所占比例最高（42.68%）;伤害发生原因主要为钝器伤（33.50%）、跌倒/坠落（28.26%）、刀/锐器伤（18.57%）和机动车车祸（14.02%）;伤害发生地点主要集中在公路/街道（25.92%）、公共居住场所（23.15%）、工业和建筑场所（17.25%）;伤害病例以非故意伤害（81.30%）为主,大部分为轻度伤害（75.92%）。结论针对不同人群、伤害发生时间和地点进行干预是必要的,特别要对0～14岁和65岁以上年龄组跌倒伤害以及全人群交通伤害开展积极预防控制工作。

Objective To understand the epidemiological characteristics of injury in Dalian during 2011- 2012 and provide evidence for the development of injury prevention and control strategy. Methods The injury surveillance data reported by 3 sentinel hospitals in Dalian during 2011- 2012 were collected and classified according to the WHO injury surveillance criteria for the purpose of statistical analysis. Results A total of 43 472 injury cases were reported in Dalian during this period. The male to female ratio of the cases was 1. 83∶ 1,and the cases were mainly aged 25- 44 years（42.68%）. The injuries were mainly caused by blunt strike（33.50%）,fall（28.26%）,sharp instrument cut（18.57%） and motor vehicle accident（14.02%）. And the injuries mainly occurred on road/street（25.92%）,at public places（23. 15%） and at industry /construction sites（17. 25%）. Most cases were unintentional and mild injuries（81.30%,75.92%,respectively）. Conclusion It is necessary to conduct targeted population and cause specific injury intervention,especially for the falls in people aged 0- 14 years and 〉65 years and for the traffic accidents in all age groups.