2013年浙江省新昌县伤害监测首诊病例流行特征分析

目的了解浙江省新昌县伤害的流行特征,为该地区伤害预防控制措施的制定提供依据。方法采用统一的登记表对2013年1月1日至2013年12月31日期间在新昌县3家伤害监测医院就诊的伤害首诊病例进行登记,采用EpiData 3.02软件建立数据库,使用Excel 2003和SPSS 13.0软件进行统计分析。结果 2013年绍兴市新昌县共报告伤害首诊病例9694例,其中男性多于女性,男女性别比为1.56∶1;年龄构成以15~44岁为主,占37.11%;职业构成以农/渔业劳动者(29.54%)、农民工(25.06%)和工人(22.74%)为主。伤害发生地点构成前4位的依次为家中(33.41%)、工作场所(28.19%)、街道/城区(19.25%)和城际间公路(12.54%)。受伤原因前5位的依次为跌伤/坠落(26.82%)、交通伤(25.02%)、钝器伤(19.26%)、刺/割伤(17.80%)和动物伤(7.22%)。受伤部位前3位的依次为上肢(31.30%)、下肢(27.85%)和头部(27.11%)。99.72%的监测对象以轻微的浅表伤和中等程度的伤害为主,97.92%的监测对象伤害意图为非故意伤害。结论浙江省新昌县伤害发生状况不容乐观,针对重点人群和高危行业,亟需建立伤害预防控制措施。

Sentinel surveillance of injury in Xinchang,Zhejiang,2013

Objective To understand the epidemiological characteristics of injury cases in Xinchang,Zhejiang province and provide evidence for the prevention and control of injury. Methods Sentinel surveillance for injury was conducted in 3 hospitals in Xinchang from 1 January to 30 December 2013. Data base was established by using EpiData 3. 02software and data were analyzed by using Excel 2003 and SPSS 13. 0. Results A total of 9694 new injury cases were recorded in Xinchang in 2013. More cases occurred in males than in females with the ratio of 1. 56∶ 1. The injury cases in people aged 15- 44 years accounted for 37. 11% of the total. The cases were mainly distributed in farmers /fishers（29.54%）,migrant workers（25.06%） and workers（22.74%）. The injuries mainly occurred at home（33.41%）,in working place（28. 19%）,on city street（19. 25%） and on road（12. 54%）. The first 5 injury causes were fall（26.82%）,traffic accident（25.02%）,blunt strike（19.26%）,sting/cut（17.80%） and animal bite（7.22%）. The first 3 injury sites were upper limb（31. 30%）,lower limb（27. 85%） and head（27. 11%）. Up to 99. 72% of the cases were mild superficial or moderate injuries and 97. 92% of the cases were unintentional injuries Conclusion The incidence of injury was high in Xinchang. Injury prevention and control should be strengthened in high risk population.