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目的掌握上海市金山区枫泾社区的伤害流行现状,有针对性地进行伤害预防工作,为建立完善的伤害监测系统及制定该社区的伤害预防控制策略提供依据。方法统计分析2011—2015年枫泾社区卫生服务中心门诊伤害监测报告病例。结果门诊伤害病例中,共收集有效病例1 905例,其中男性1 216例,女性689例。病例年龄主要集中在45~64岁年龄段,占总病例的37.90%。伤害原因主要为刀及锐器伤,占41.21%;伤害的性质主要是锐器伤、咬伤、开放伤,占46.77%;伤害主要发生在四肢,其中上肢占45.93%,下肢占33.65%;伤害发生的场所主要为家中,占48.45%;伤害发生时主要是在进行有偿工作(41.99%)。不同年龄段受伤场所、原因和伤害发生时的活动也各不相同,不同性别主要在伤害发生的场所及所进行的活动上有所不同。结论伤害防治的工作重点应放在45岁以上年龄段的跌落、跌倒的预防上,尤其是对老年人伤害的预防;家务劳动及职业风险也应予以注意。
Objective To grasp the current situation of injury and injury in Fengjing community in Jinshan district of Shanghai, and to provide targeted evidences for prevention and treatment of injury, and to provide a basis for establishing a perfect injury monitoring system and formulating harm prevention and control strategies for this community. Methods Statistical analysis of 2011 - 2015 Fengjing community health centers outpatient injury monitoring reports. Results A total of 1 905 valid cases were collected from outpatients, including 1 216 male and 689 female. Case age mainly concentrated in the 45-64 age group, accounting for 37.90% of the total cases. The injuries were mainly caused by knives and sharp injuries, accounting for 41.21%. The injuries were mainly sharp injuries, bites and open wounds, accounting for 46.77%. The injuries mainly occurred on the limbs, with the upper limbs accounting for 45.93% and the lower limbs accounting for 33.65%. Injury occurred mainly in the home, accounting for 48.45%; injury occurs mainly in the paid work (41.99%). Injuries at different ages, causes and injuries also vary from place to place and different genders differ mainly in the place where the injury occurs and in the activities performed. Conclusions The focus of injury prevention and treatment should be placed on prevention of falls and falls in people over the age of 45, especially for the prevention of injuries among the elderly. Domestic labor and occupational risks should also be noted.