2006-2013年云南省农村地区老年人跌倒伤害分析

Epidemic Characteristics of Falling Injury in the Aged in Yunnan Rural Area,2006-2013

目的了解2006-2013年云南省农村地区老年人跌倒的流行特征及变化趋势,为制定有效预防控制策略、提高老年人生活质量提供依据。方法选择首次在云南省伤害监测系统农村哨点医院就诊被诊断为跌伤的老年人病例进行描述性分析。结果 2006-2013年共收集有效病例6 270例。8年间云南省农村地区的老年人跌倒发生比例从2006年的47.66%上升到2013年的72.47%。随着老年人年龄的增加,发生跌倒的风险也增高。60~74岁组老年人发生跌倒的比例为60.43%,75~89岁组老年人为67.71%,90岁及以上老人则高达83.64%。女性高于男性。跌倒的高发地点主要是家中、农田和公共居住场所。前3位活动依次为休闲活动、有偿工作和家务/学习。跌伤部位主要是下肢、躯干和头部。跌伤以非故意伤害、轻度和中度受伤为主。结论云南省农村地区老年人跌倒问题不容忽视,应引起高度重视,针对不同年龄段老年人发生跌倒的主要场所和伤害特点,采取相应的预防干预措施,以降低跌伤对老年人生命健康的损害。

Objective To know the epidemic characteristics and trends of the aged falling injury during2006-2013 in Yunnan rural area and to provide scientific evidences for prevention and control strategies.Methods Data of≥60aged older cases during 2006 to 2013were collected from the Chinese National Injury Surveillance System（NISS）and descriptively analyzed.Results Altogether 6270 older cases were reported from 2006 to 2013in Yunnan.The proportion of the aged falling injury increased from 47.66%in 2006 to 72.47%in 2013.With the increasing of age,the proportion of falling was enlarging.The falling proportion of 60-74 year old was 60.43%,the 75-89 years was 67.71%,and those with age≥90year old was 83.64%.The falling proportion of the female was higher than that of the male. Main locations where the injuries happened were home,farmland and public place.The injury activities were leisure activities,work and household duties/study. The majority cases were unintentional and minor and moderate injuries.Conclusion The aged falling injury cannot be ignored in Yunnan rural area.High attention needs to be paid to,and different intervention measures should be adopted aiming at different age group and different falling characteristics to decrease the injury.