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目的分析上海市宝山区辖区内所有17家社区卫生服务中心门诊伤害发生的特点和规律,为开展伤害预防与控制提供科学依据。方法以上海市宝山区内所有17家社区卫生服务中心作为伤害监测医院,对2008年1月1日至2010年12月31日首次就诊于17家社区医院的伤害病例进行分析。结果共有伤害病例10 695例,其中,男、女性别比为2.15∶1,伤害高发年龄组为15~40岁,生产运输工在所有职业中发生伤害的人数最多,流动人口伤害的发生人数大于户籍人口,发生时从事的活动以工作最多,伤害发生最多的地点是在家中,非故意伤害占伤害总人数的98.15%,以轻度伤害最多(98.12%),死亡1人。伤害发生的前5位原因依次为物体器具的机械伤、跌倒和坠落、非机动车交通事故、机动车交通事故、接触热烫物质。结论物体器具的机械性伤害、跌倒和坠落、交通事故为优先防治的伤害种类,流动人口的伤害发生应该引起相关部门的重视。
Objective To analyze the characteristics and rules of outpatient injuries in all 17 community health centers in Baoshan District of Shanghai and provide a scientific basis for the prevention and control of injuries. Methods All 17 community health service centers in Baoshan district of Shanghai were evaluated as injury monitoring hospitals. The injuries were analyzed for the first time in 17 community hospitals from January 1, 2008 to December 31, 2010. Results A total of 10 695 cases of injuries were found, among them, the ratio of male to female was 2.15:1, and those with high injury age ranged from 15 to 40 years old. The production transporters suffered the most injuries in all occupations. The number of floating population injuries occurred more than The household population, most of which were engaged in activities at the time of occurrence, was the most affected at home. The unintentional injury accounted for 98.15% of the total number of injuries, with the least severe injury (98.12%) and one death. The top five causes of injury were mechanical injury, fall and fall of objects and apparatus, traffic accident of non-motor vehicle, traffic accident of motor vehicle and exposure to hot materials. Conclusions Mechanical injuries, falls and falls of objects and apparatus, traffic accidents are the priority types of injury prevention and treatment, and the injury of floating population should be taken seriously by relevant departments.