论文部分内容阅读
目的分析和描述清远市农村地区居民伤害发生情况,为伤害防控提供科学依据。方法利用清远市清新县典型农村地区的1家县级医院、1家中心乡卫生院和1家普通乡卫生院的伤害监测资料,使用全国伤害监测专用软件建立数据库,对2009—2011年的伤害资料进行统计分析。结果 2009—2011年共收集伤害病例10 576例(死亡375例),其中男性7 391例(占69.88%),女性3 185例(占30.12%);在伤害病例的年龄构成中15～54岁年龄组居首位,共7 111例(占67.24%);伤害发生以小学、初中文化程度为主7 271例(占68.75%);职业构成以农业劳动人员居多,为3 127例(占29.57%)。报告伤害发生例数以8月份为最多1 795例(占16.97%)。伤害发生地点主要为农场/农田3 145例(29.74%)。伤害发生前3位原因是钝器伤2 927例(27.68%)、跌落/坠落2 455例(23.21%)、动物咬伤1 538例(14.54%),不同年龄组的前2位伤害原因分别:0～14岁组为动物咬伤287例(占29.23%)、跌落/坠落283例(占28.91%);15～54岁组为钝器伤2 181例(占30.67%)、跌落/坠落1 595例(占22.43%);≥55岁组为跌落/坠落576例(占23.20%)、钝器伤569例(占22.91%)。除≥55岁组人群以骨折(占该组人群32.17%,799/2 484)居多外,0～14、15～54岁组均以挫伤/擦伤居多(分别占36.25%,356/981;40.41%,2 874/7 111)。伤害治疗后回家、观察/住院/转院及死亡病例构成比分别为:8 067例(占76.27%)、2 134例(占20.18%)、375例(占3.55%)。结论在被调查的农村地区,伤害病例以男性为主,伤害原因以钝器伤、跌落/坠落、动物咬伤为主;预防伤害尤其是在农场/农田发生的伤害非常必要。
Objective To analyze and describe the occurrence of injury among residents in rural areas of Qingyuan City and provide a scientific basis for the prevention and control of injuries. Methods Using the data of injury monitoring in a county hospital, a center township health center and a general rural hospital in a typical rural area of Qingxin county of Qingyuan City, a database was built using the national injury monitoring software to evaluate the harm in 2009-2011 Data for statistical analysis. Results A total of 10 576 cases (375 deaths) were collected in 2009-2011, of which 7 391 (69.88%) were male and 3 185 (30.12%) were female, 15 to 54 years old in the age group of injuries The age group ranked first with a total of 7,111 cases (accounting for 67.24%). Injuries occurred mainly in primary and junior high schools with 7,271 cases (accounting for 68.75%). The majority of agricultural occupations constituted 3,127 cases (29.57% %). The number of reported injuries was as high as 1 795 cases (16.97%) in August. The injury occurred mainly in 3,145 farms / farmlands (29.74%). The first three causes of injury were 2 927 cases (27.68%) of blunt trauma, 2 455 cases (23.21%) of falling / falling cases and 1 538 cases (14.54%) of animal bites. The causes of the first 2 injuries among different age groups 287 cases (29.23%) were bites, 283 cases (28.91%) were falling / falling in the age group of 0-14 years, 2 181 cases (30.67%) were blunt trauma in the age group of 15-54, falling / falling 1 595 cases (accounting for 22.43%); 576 cases (23.20%) were falling / falling and 569 cases (22.91%) had blunt trauma when they were 55 years old or older. In addition to the majority of fractures in the group of ≥55 years old (accounting for 32.17% and 799/2484 of the total population), most of the patients in the range of 0 to 14 and 15 to 54 years old had bruises and abrasions (36.25% and 356/981, respectively) 40.41%, 2 874/7 111). After the injury treatment, the ratio of observation / hospitalization / transfer to death and death cases were 8 067 cases (76.27%), 2 134 cases (20.18%) and 375 cases (3.55%). Conclusion In the rural areas surveyed, the majority of cases were male. The main causes of injury were blunt trauma, fall / fall and animal bites. Preventive injuries, especially those on farms / farmlands, were necessary.