张玉龙, 张一英. 上海市嘉定区社区卫生服务中心就诊伤害病例分析[J]. 疾病监测, 2011, 26(6): 491-495. DOI: 10.3784/j.issn.1003-9961.2011.06.020
引用本文: 张玉龙, 张一英. 上海市嘉定区社区卫生服务中心就诊伤害病例分析[J]. 疾病监测, 2011, 26(6): 491-495. DOI: 10.3784/j.issn.1003-9961.2011.06.020
ZHANG Yu-long, ZHANG Yi-ying. Injury cases in community health centers in Jiading district in Shanghai[J]. Disease Surveillance, 2011, 26(6): 491-495. DOI: 10.3784/j.issn.1003-9961.2011.06.020
Citation: ZHANG Yu-long, ZHANG Yi-ying. Injury cases in community health centers in Jiading district in Shanghai[J]. Disease Surveillance, 2011, 26(6): 491-495. DOI: 10.3784/j.issn.1003-9961.2011.06.020

上海市嘉定区社区卫生服务中心就诊伤害病例分析

Injury cases in community health centers in Jiading district in Shanghai

  • 摘要: 目的 了解上海市嘉定区社区卫生服务中心门/急诊伤害发生状况,为伤害干预提供参考依据。 方法 以上海市嘉定区13家社区卫生服务中心作为伤害监测点医院,对2008年10月1日至2009年9月30 日到医院门诊就诊并被诊断为伤害的首诊患者作为研究对象。 结果 共报告伤害病例17 391例,男女性别比为2.27 ∶ 1;伤害病例以15~39岁年龄组最多(50.55%);本区户籍占44.67%,外地户籍占55.33%;7月发生的伤害人数最多(12.12%),发生时间多在08:11-16:37;以非故意伤害和轻度伤害为主;前5位伤害发生原因是物体/器具的机械性作用(66.28%)、跌倒/坠落(22.07%)、非机动车交通事故(6.47%)、机动车交通事故(1.86%)、烫伤(1.59%)。 结论 物体/器具的机械性作用、跌倒/坠落、交通事故为优先防治的伤害种类,应重视外来人口的伤害干预。

     

    Abstract: Objective To analyze the epidemiological characteristics of injury cases seeking medical care in community health centers in Jiading district in Shanghai and provide evidence for the prevention and control of injury. Methods Thirteen community health centers in Jiading district were selected to conduct injury surveillance, the patients who sought medical care there and were diagnosed as injury for the first time from 1 October 2008 to 30 September 2009 were the study subjects. Results A total of 17 391 injury cases were reported,the male to female ratio of the cases was 2.27 ∶ 1. The cases aged from 15 to 39 years accounted for 50.55%. The cases in local population accounted for 44.67%, while the cases in floating population accounted for 55.33%. The injuries occurred in July accounted for highest proportion (12.12%), and the injuries mainly occurred between 08:11 am and 16:37 pm during a day.Most cases were unintentional and mild injuries. The first 5 injury causes were mechanical force of object/instrument (66.28%), falling down (22.07%), non-motor vehicle traffic accidents (6.47%), motor vehicle traffic accidents (1.86%) and scald (1.59%). Conclusion The highest priority of injury prevention should be given to the injuries caused by mechanical force of object/instrument, falling down and traffic accidents, and close attention should paid on the injury intervention in floating population.

     

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