2009-2010年浙江省60岁及以上老年人伤害流行病学特征分析

目的探讨2009-2010年浙江省60岁及以上老年人伤害流行病学特征,为采取科学有效的防制措施提供依据。方法通过网络报告的方式收集2009-2010年浙江省9个地区28家哨点医院的首诊老年伤害患者(≥60岁)的信息,对老年伤害的三间分布、伤害情况及后果进行分析。结果共调查老年伤害病例19412例(性别比1.14∶1);主要直接原因是跌/坠落伤、交通伤、动物伤;伤害地点构成前3位为家中、街道/城区、工作场所;伤害发生集中时段为上午8～10点与下午1～4点,夏秋季高于冬春季;老年人受伤部位前3位为下肢、上肢和头部;受伤严重程度主要以轻到中度为主,严重伤害比例男性高于女性(χ2=11.650,P<0.001),结局以处理后回家为主;伤害意图大部分为意外伤害,自伤/自杀仅占0.58%,自伤的主要原因为中毒。结论老年人伤害在发生时间、发生地点和伤害类型等因素上较其他年龄组有其特殊性,应针对性地采取预防措施,以有效减少老年人伤害的发生。

Analysis on epidemiological features of injury among aged population in Zhejiang,2009-2010

Objective To describe and analyze characteristics and distribution of injury in senior residents over 60 years old in Zhejiang Province,and to provide the evidence for comprehensive prevention and effective interventions.Methods The old patients who seek medical care for injury for the first time in sentinel hospital in Zhejiang from 2009 to 2010 were collected to analyze the distributions of severity and outcomes by internet.Results A total of 19412 injury cases were investigated(the sex ratio was 1.14∶1).The leading causes of injury were fall,traffic accident and bite,and the first 3 sites where injury occurred were at home,on street and at work.The injuries mainly occurred between 8∶00 a.m.and 10∶00 a.m.in the morning and 13∶00 p.m.and 16∶00 p.m.in the afternoon,and it was much common in summer and autumn.The first 3 injury sites on body were lower limb,upper limb and head.The severity was mainly mild or moderate,and there were more sever cases in males than females(χ2=11.650,P<0.001).Most cases were caused unintentionally and went back home after treatments.Only 0.58% of cases were suicide or autolesion,which were mainly caused by poison.Conclusions The characteristics of injury among aged population were different from other age groups in time,sites and types,so specific preventive measures should be applied to reduce the injury occurred among aged population.