2018年深圳市伤害监测病例浅析

Analysis on Injury Cases Reported in 2018 at the Chinese National Injury Surveillance System, Shenzhen

目的了解深圳市伤害监测病例的流行病学特征,为开展伤害防控工作提供数据支持。方法对2018年因伤害首次在深圳市全国伤害监测系统哨点医院门急诊就诊的病例进行描述性分析。结果2018年深圳市7家哨点医院共报告伤害病例164251例,男性病例多于女性(分别为101426例,62825例)。15~44岁组是伤害的高发年龄段。伤害发生的高峰时间为18:00-20:59。伤害发生原因前三位依次为跌倒/坠落(33.11%)、动物伤(22.57%)和钝器伤(15.28%);伤害发生地点主要为家中(33.91%)、公路/街道(20.48%)和公共居住场所(15.88%);伤害发生时活动主要为休闲活动(56.44%)、有偿工作(13.79%)和做家务(7.38%);伤害性质以锐器伤/咬伤/开放伤(45.86%)、挫伤/擦伤(35.58%)和扭伤/拉伤(8.41%)为主;伤害部位主要为上肢(39.75%)、下肢(24.77%)和头部(18.37%);伤害病例以非故意伤害(95.56%)、轻度伤害(85.04%)为主。结论伤害是深圳市目前比较突出的公共卫生问题,应针对重点人群采取有效的防控措施与策略,减少伤害的发生。

Objective To understand the epidemiological characteristics of injury cases in Shenzhen,and provide objective evidence for injury prevention and control.Methods Descriptive analyses were performed against the data of first-time injuries registered in 2018 at the Chinese National Injury Surveillance System,Shenzhen.Results A total of 164251 cases were reported at seven sentinel hospitals,with 101426 males and 62825 females.The high risk group is in 15-44 years old.Most of injuries happened during 18:00 to 20:59.The top three causes of injuries were falls(33.11%),animal bites(22.57%),and blunt injuries(15.28%).Most of injuries happened at home(33.91%),roads/streets(20.48%),and public places public problem in Shenzhen.Targeted and effective prophylactic interventions should be developed and implemented to reduce the occurrence of injuries.