湖北省伤害监测点60岁及以上老年人伤害情况分析

Analysis on Injury among People Over 60 Years Old from Hubei Injury Surveillance System

目的了解湖北省伤害监测点老年人伤害流行状况,为制定伤害干预策略提供科学依据。方法对天门市伤害监测哨点医院2014年首次因伤害就诊的60岁及以上老年人伤害病例进行分析。结果共报告60岁及以上老年人伤害病例2 999例,其中男性1 577例。主要伤害原因为跌倒/坠落(1 422例,47.42%);其次是道路交通事故(1 046例,34.88%);伤害发生地点主要是家中(1 083例,36.11%);伤害发生时的主要活动是做家务(1 357例,45.25%)和休闲活动(965例,32.18%);伤害性质以挫伤/擦伤(1 164例,38.81%)为首位;伤害部位主要是头部(842例,28.08%)。结论跌倒/坠落是造成老年人伤害的主要原因,家中是伤害首要发生地点。建议应以家庭为重点,积极主动干预,采用必要的防止跌倒发生的设施,以减少老年伤害的发生。

Objectvies To understand the status of injuries among people over 60 years old from Hubei Injury Surveillance System,and provide scientific evidence for formulating the strategy of injury intervention prevention.Methods The first diagnosed cases of injury over 60 years old from injury surveillance intervention hospitals in Tianmen City were collected and analyzed.Results A total 2 999 cases of reported injury over 60 years old were collected with 1 577 male cases.The first cause of injuries was falls,accounting for 47.42%（1 422 cases）.The second was road traffic injuries,accounting for 34.88%（1 046 cases）.Most injuries occurred at home,accounting for 36.11%（1 083 cases）.The main actviities resulted injury were household duties and leisure actviities,accounting for 45.25%（1 357 cases）and 32.18%（965 cases）.The top injury diagnosis were contusions/bruise,accounting for 38.81%（1 164 cases）.The most common injured position was the head,accounting for 28.08%（842 cases）.Conclusions Falls was the main cause of injury among over 60 years old.Normally injuries occurred at home.Recommendations should focus on the family,actvie intervention with the necessary facilities to prevent falls,to reduce the incidence of injuries in the elderly.