摘要
目的:分析上海江川社区伤害发生的监测资料,为防范伤害的发生提供依据。方法:采集2014年1月-2018年12月上海江川社区卫生服务中心门诊的8449例常住人口意外伤害数据。分析伤害发生率,伤害发生地点,和伤害的严重程度及结局情况。结果:2014-2018年上海江川常住人口平均伤害发生率为128.93/万,女性伤害发生率高于男性(185.09/万比81.33/万,P<0.01);趋势性分析显示,2014-2018年不同性别和年龄段的伤害发生均有下降趋势,差异有统计学意义(P<0.01)。伤害发生地点占比前三位的分别为家里(52.78%)、公路/街道(22.03%)和贸易和服务场(10.52%);伤害发生原因中以跌倒/坠落为主,占72.03%;伤害发生严重程度以轻度为主,占比92.29%,男性发生中重度伤害的占比高于女性(8.70%比7.19%,P<0.05)。结论:上海江川社区伤害发生整体呈下降趋势,伤害主要发生在45岁以上的居家女性中,社区应针对相关高危因素,针对重点人群加强管理。
Objective:To analyze the monitoring data of injury occurrence in Jiangchuan Community in Shanghai so as to provide a basis for preventing the occurrence of injury.Methods:From January 2014 to December 2018,the data of 8449 cases of accidental injuries of permanent residents in the Outpatient Department of Jiangchuan Community Health Service Center in Shanghai were collected.The incidence,site,severity and outcome of injury were analyzed.Results:From 2014 to 2018,the average injury rate of Jiangchuan resident population in Shanghai was 128.93/10000,and the injury rate of women was higher than that of men(185.09/10000 to 81.33/10000,P<0.01);trend analysis showed that the incidence of injuries in different gender and age groups had a downward trend from 2014 to 2018,and the difference was statistically significant(P<0.01).The top three injuries occurred at home(52.78%),on the roads/in the streets(22.03%)and in the trade and service sites(10.52%);the main cause of injuries was fall/fall,accounting for 72.03%;the severity of injuries was mainly mild,accounting for 92.29%,the proportion of moderate and severe injuries in men was higher than that in women(8.70%to 7.19%,P<0.05).Conclusion:The overall incidence of injuries in Jiangchuan Community in Shanghai shows a downward trend,and the injuries mainly occur in home women over 45 years old,and the community should focus on the relevant high-risk factors and strengthen the management of key groups.
作者
沈蔚
李晓芳
陆庆伟
SHEN Wei;LI Xiaofang;LU Qingwei(Prevention and Health Care Department of Jiangchuan Community Health Service Center of Minhang District,Shanghai 200240,China)
出处
《上海医药》
CAS
2019年第24期48-51,共4页
Shanghai Medical & Pharmaceutical Journal
关键词
伤害
监测
影响因素
injure
monitor
influence factor