鄞州区2005-2006年急诊室外来人口伤害特征分析

目的了解鄞州区内急诊室外来人口伤害发生特征及分析其原因,为该人群伤害预防提供科学依据。方法分层抽取3家哨点医院,对急诊室伤害就诊病例情况进行统一登记,建立数据库后,对数据进行统计分析。结果共监测急诊室外来人口伤害病例6431例,男女比为3:1。意外伤害占79.4%(5106例),自伤占2.4%(152例),他人故意伤害占18.2%(1173例),所有伤害中死亡15人,死亡率为0.2%。伤害发生的主要原因依次为钝器伤、跌或坠落伤、刺或割伤、交通伤,分别占33.2%、23.4%、19.8%、15.5%。饮酒和工厂做工是伤害发生的重要危险因素。结论外来人口急诊室伤害发生严重,应加强健康宣教和针对重要危险因素实施干预措施。

Characteristic Analysis on Injury of Floating Population in Emergency Departments from 2005 to 2006 in Yinzhou District

Objective Tounderstand the characteristics of injury in floating population from hospital emergency departments in this district, and analyze the associated factors for providing scientific basis for prevention.Methods Three surveillance hospitals were randomly chosen by stratified sampling method. The information about injured patients were obtained from registration in emergency departments. Results During the year of 2005 to 2006. there were 6431 injured patients to be enrolled, and the sex ratio was 3:1(man to woman). 79.4% (5106 patients) were injured by accident, 2.4% (152 patients) were injured by themselves, else were injured by others intentionally. The death rate among these patients is 0.2% (15 patients). The main reason of injury was blunt stuff (33.2%), falling (23.4%), stab or cutting (19.8%) and traffic accidents (15.5%). Drinking and working in factory were the important risk factors to cause injury. Conclusions The injury of floating population from emergency departments was serious. Health education should be strengthened and injury prevention and control program should be carried out to reduce injuries.