目的通过开展以哨点医院为基础的伤害监测,了解桐乡市伤害发生的特点,为有效地开展伤害预防控制提供依据。方法选取桐乡市3家伤害监测哨点医院,采用《浙江省医院急诊伤害监测病例登记表》对前来就诊的首诊伤害病例进行登记、分析。结果 2006～2010年共收集伤害64 692例,报告伤害例数逐年增加;患者男女性别比为1.66∶1;平均年龄(38.81±18.94)岁,年龄构成以15～44岁为主(51.9%);职业构成前3位分别是农/渔业劳动者(41.6%)、农民工(16.4%)和工人(13.9%);伤害发生主要地点分别为街道/城区(30.3%)、家(包括院子等29.5%)和工作场所(21.2%);前5位受伤原因分别为交通伤(38.3%)、跌落(20.4%)、钝器伤(12.0%)、动物伤(10.2%)及刺割伤(7.9%);伤害发生意图以非故意伤害为主(94.3%);轻微的表浅伤占到了59.5%,82.4%的患者在医院经过处理后回家。结论目前伤害已成为桐乡市严重的公共卫生问题,应针对不同伤害原因制定相应的预防干预措施。 OBJECTIVE To understand the characteristics of injuries in Tongxiang City through the monitoring of sentinel-based injuries and provide the basis for effective prevention and control of injuries. Methods Three hospitals in Tongxiang City were selected for the study. The registration records of the first cases of injuries from Zhejiang Provincial Hospital were collected and analyzed. Results A total of 64 692 cases of injuries were reported from 2006 to 2010. The reported cases of injuries increased year by year. The male / female sex ratio was 1.66:1. The mean age was 38.81 ± 18.94 years old and the age was 15-44 years old (51.9%). (41.6%), migrant workers (16.4%) and workers (13.9%), respectively. The main locations of injuries were street / urban areas (30.3%), homes (including the yard, etc.) 29.5%) and the workplace (21.2%). The top five were injured in traffic injuries (38.3%), falls (20.4%), blunt trauma (12.0% 7.9%). The main intention of injury was unintentional injury (94.3%). Slight superficial injury accounted for 59.5%. 82.4% of patients were treated in the hospital and returned home. Conclusion Injury has become a serious public health problem in Tongxiang City. Corresponding preventive interventions should be formulated according to different causes of injury.