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目的了解我国城市与农村地区门急诊伤害的发生情况。方法利用全国伤害监测系统2006-2011年监测数据,分析城市和农村地区伤害病例人口社会学特征、伤害发生原因、伤害事件基本情况、伤害临床信息构成情况。结果门急诊伤害病例中男性伤害病例占65%以上,但女性病例呈增多趋势。60岁及以上年龄组病例所占比例则持续升高、且农村地区升高幅度大于城市地区。城市地区前5位伤害原因依次是跌倒/坠落、钝器伤、道路交通伤害、刀/锐器伤和动物伤,农村地区前5位伤害原因依次为跌倒/坠落、道路交通伤害、钝器伤、刀/锐器伤和动物伤。城乡地区伤害意图第1位都是“非故意”;病例最多月份都是7、8月份。城市地区病例伤害发生地点的前5位是公路/街道、家中、公共居住场所、工业和建筑场所以及贸易和服务场所;农村地区病例伤害发生地点前5位是公路/街道、家中、工业和建筑场所、公共居住场所以及学校与公共场所。结论城市和农村地区门急诊伤害发生情况不完全相同,开展伤害防制工作时必须根据不同地区的特点有针对性地制定相关策略和措施。
Objective To understand the occurrence of outpatient and emergency department injuries in urban and rural areas in China. Methods The monitoring data of the national injury monitoring system from 2006 to 2011 were used to analyze the sociological characteristics of the injured population in urban and rural areas, the causes of the injuries, the basic situation of the injuries and the composition of the clinical information of the injuries. Results Outpatient and emergency department injury cases accounted for more than 65% of the cases of male injuries, but the female cases showed an increasing trend. The proportion of cases in the age group of 60 and over continued to increase, and the increase in rural areas was greater than in urban areas. The top five injuries in urban areas were followed by fall / fall, blunt trauma, road traffic injuries, knife / sharp weapon injuries and animal injuries. The top five injuries in rural areas were fall / fall, road traffic injuries, blunt trauma , Knife / sharp weapon and animal injury. The first intention of injury in urban and rural areas are “unintended ”; the most cases in the month are July and August. The top 5 locations in urban areas were road / street, home, public place of residence, industrial and construction sites and trade and service establishments; the top 5 cases of rural injury cases were road / street, home, industrial and building Places, public places of residence and schools and public places. Conclusions The occurrence of outpatient and emergency department injuries in urban and rural areas is not exactly the same. To carry out prevention and control of injuries, relevant strategies and measures must be formulated according to the characteristics of different regions.