上海市松江区14家社区卫生服务中心就诊伤害病例分析

目的了解上海市松江区社区卫生服务中心门/急诊伤害发生状况。方法以上海市松江区14家社区卫生服务中心作为伤害监测哨点医院，对2007年7月1日至2008年6月30 日首次就诊于哨点医院的伤害病例进行调查。结果共调查伤害病例11 162例。其中男、女性别比为2.44∶1，伤害高发年龄组为25～44岁(40.92%)；夏季发生的伤害人数最多(30.11%)，6月伤害病例占全年的10.82%；非故意伤害占伤害总人数的96.72%，以轻度伤害最多(96.28%)。前4位伤害发生原因为物体/器具的机械性作用、跌倒/坠落、非机动车交通事故和机动车交通事故。 结论中青年是伤害威胁的重点人群，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。

Analysis of injury eases in community health service centers in Songjiang district,Shanghai

Objective To investigate the epidemiological features of injury cases in the community health service centers in Songjiang district, provide the scientific evidence for the prevention and control of injury. Methods Fourteen community health service centers were selected as sentinel surveillance spots, the injury cases treated there for the first time from July 1, 2007 to June 30, 2008 were analyzed. Results A total of 11 162 injury cases were analyzed. The male-tofemale ratio of the cases was 2.44： 1. The percentage of injury occurred in the people aged 25 -44 years old was highest （40.92%） of the total cases, the injury cases occurred in summer was highest （30. 11% ）, and the cases occurred in June accounted for 10. 82% of the total cases. Unintentional injury accounted for 96.72% of the total cases. Most cases （96.28%） were slightly injured. The first four causes of injury were mechanical accident, falling down, non-motor vehicle traffic accident and motor vehicle traffic accident. Conclusion Young adults were the major population affected by injury. Mechanical accidents, falling down and traffic accident are the priority injury causes to be avoided.