上海市黄浦区社区首诊伤害病例特征分析

目的 了解上海市黄浦区社区医院伤害监测病例分布特征,为制定伤害预防控制策略提供依据。方法收集2013年1月至2014年5月上海市黄浦区所有(11家)社区卫生服务中心按照《上海市伤害报告卡》填报的门诊伤害监测资料,运用描述流行病学方法分析。结果 共收集有效伤害病例3771例,女性多于男性,其中45~65岁组病例数所占比例最高(46.54%),以本地人口为主(96.31%)；伤害发生原因前3位依次为跌倒/坠落(65.39%)、非机动车车祸(14.45%)、刀/锐器伤(6.71%)；伤害发生地点主要为家中(52.90%)、街道/公路(25.48%)、公共居住场所(11.08%)；发生时间多见于1~5月；伤害病例以非故意伤害为主(98.67%)。结论 跌倒/坠落、非机动车车祸、刀/锐器伤为黄浦区优先防治的伤害种类；女性、老年人为伤害威胁重点人群；应根据不同人群特点,科学开展伤害干预。
Objective To analyze the characteristics of the first-contact injury patients in Huangpu District of Shanghai. MethodsThe descriptive epidemiology analysis was conducted on the injury surveillance data reported by the 11 community health centers in Huangpu District of Shanghai during Janurary 2013 to May 2014. Results A total of 3771 injury cases were included in the analysis. Among all cases, the females were more than the males, the age group 45 to 65 accounted for 46.54%, and the local residents were predominant(96.31%). The first three causes of injury were falling down(65.39%), non-motor vehicle traffic accident(14.45%) and sharp instrument injury(6.71%). The most common locations of injury occurrence were home(52.90%), followed by street/road(25.48%) and public places(11.08%). The peak time of occurring injuries were between January and May. Most injury cases were unintentional(98.67%). ConclusionThe priority list on injury prevention are falling, non-motor vehicle traffic accident and sharp injury. Women and the elderly are the most vulnerable to injury. Targeted interventions should be conducted among different populations based on their epidemiological features