2006-2008年四川城乡老年人伤害发生特征分析

目的通过对四川城市与农村老年人发生伤害事件的调查结果分析,了解城乡老年人群伤害发生的规律及特点,为制定相关政策和干预措施提供依据。方法将2006-2008年因伤害首次就诊于哨点医院的老年患者作为调查对象,分析老年人伤害的三间分布、伤害情况及后果。结果共调查城市老年伤害病例4 176例(男女之比为1∶1.08),农村老年伤害病例2 319例(男女之比为1.12∶1);城乡老年人伤害发生场所前2位均为家中、公路(街道);伤害发生最集中的时段城乡均为清晨8~10点,10点达到最高峰值;城乡老年人伤害的主要直接原因均是跌倒/坠落,机动车车祸,(但构成差异有统计学意义χ2=383.26,P0.01);城乡老年人伤害身体部位前3位均为头部、下肢、上肢;农村老年人中度伤害构成比(36.0%)高于城市(26.7%)。结论四川省城市和农村老年人发生伤害特点有相同和不同之处,可结合相关影响因素和规律,通过提高老年人的健康防范意识,以及政府对公共设施的合理建设来开展预防控制。

Analysis on Characteristics of Injury Among Aged Population in Urban and Rural Areas in Sichuan, 2006-2008

Objective To analyze the characteristics of injury among aged population in urban and rural areas in Sichuan and provide basis for the development of relevant policies and intervention measures. Methods The old patients who seek medical care for injury for the first time in sentinel hospital from 2006 to 2008 were taken as study subject to analyze the distributions, severity and outcomes of injury. Results A total of 4176 injury cases in urban area were investigated（ the sex ratio of the cases was 1：1.08）, and 2319 injury cases in rural area were investigated （ the sex ratio of the cases was 1.12：1 ）. The first 2 sites where injury occurred were at home and on street both in urban and rural areas. The injuries mainly occurred between 8：00 a. m. and 10：00 a.m. both in urban and rural areas with the peak at 10：00 a. m. The direct causes of injury both in urban and rural were tumble and traffic accident. The first 3 injury sites on body were head, upper limb and lower limb in both areas. The proportion of the injury cases with mid severity in rural area（36. 0% ）was higher than that（26. 7% ）in urban area. Conclusions The characteristics of injury among aged population in urban area and rural area in Sichuan province were same in some aspects, but different in others. The control and prevention of injury can be carried out by improving old people＇s awareness of health protection and the construction of public facilities by government according to the risk factors and pattern of injury occurrence.