20112014年上海市潍坊社区伤监测病例特征分析.docVIP

20112014年上海市潍坊社区伤害监测病例特征分析 　　摘 要 目的：了解上海市浦东新区潍坊社区卫生服务中心门诊监测伤害病例分布特征，为建立完善的伤害监测系统及制定本区伤害预防控制策略提供依据。方法：收集分析2011―2014年潍坊社区卫生服务中心门诊伤害监测报告病例，采用上海市统一报告卡填报。结果：共收集有效病例2405例，其中男、女性别比为1∶1.41，病例年龄主要集中在45岁以上，占总病例的75.72%；伤害发生原因构成居前3位的依次为跌倒/坠落（61.37%）、刀/锐器伤（20.54%）及钝器伤（10.60%）；伤害发生地点主要为家里（51.27%）、公共居住场所（18.59%）和工业建筑场所（9.27%）；伤害的性质主要是挫伤/擦伤（26.74%）、锐器伤/开放性伤（25.95%）及其他骨折（23.45%）。结论：伤害防治的工作重点应该放在儿童、老年人的跌落、跌倒的预防上，同时，开展社区安全干预项目，有利于减少各类安全因素造成的伤害。 中国论文网 /6/viewhtm　　关键词 伤害 监测 特征分析 流行病学 　　中图分类号：R181.3+7 文献标识码：A 文章编号：1006-1533（2016）02-0043-04 　　Analysis of the characteristics of the injury surveillance cases in Weifang Community in Shanghai from 2011 to 2014 　　SHAO Jie， CHEN Zanqiong， FU Xianqin 　　（Weifang Community Health Service Center of Pudong New District， Shanghai 200122， China） 　　ABSTRACT Objective： To explore the distribution characteristics of the injury cases in the outpatient department monitoring to provide a basis for establishment of the perfect injury surveillance system and formulation of the prevention and control strategy of injury. Methods： The reported cases of injury surveillance were collected from 2011 to 2014 in the outpatient clinic of Weifang Community Health Service Center by Shanghai municipal uniform reporting cards. Results： A total of 2 405 effective cases were collected， and the male and female ratio was 1∶1.41. The age of the patients was mainly concentrated in the age of 45 years， accounting for 75.72% of the total. The causes of the injury among the top three in order were fall （61.37%）， knife / sharp injuries （20.54%） and blunt injury （10.60%）. The locations that the injury occurred mainly were at home （51.27%）， public place of residence （18.59%） and industrial construction sites （9.27%）. The natures of the injuries were mainly contusions/ abrasions （26.74%）， sharp injuries/open wounds （25.95%） and other fractures （23.45%）. Conclusion： The work of control and prevention of the injury should focus on the fall of children and elder people. At the