2004年藁城市医院就诊伤害状况调查

目的了解河北省农村居民伤害构成和伤害的危害程度,为制定有效预防措施提供理论依据.方法资料来源于藁城市所有乡镇及乡镇以上共26家医院急诊科2003年12月1日-2004年11月30日接诊的符合WHO伤害监测指南分类标准的全部记录,共7065例.按照WHO伤害监测指南分类标准进行归类和统计.结果2004年藁城市居民伤害原因中,前5位是交通事故、钝器伤、跌落、刺伤和中毒,分别占35.99%,24.95%,17.69%,8.95%,6.34%.各种伤害原因中,除中毒女性高于男性外,余均为男性高于女性.所有伤害类型中,非故意伤害占78.71%,故意伤害占12.28%,自我伤害占3.71%,除自我伤害女性高于男性外,其他均为男性高于女性,年龄集中于25～44岁,为2734例,占38.70%.总体男性高于女性,男性占总数的71.01%,女性占28.99%.旅行是伤害最容易发生的活动,占36.33%,发生伤害的地点以公路（街道）最多见,为45.64%.结论藁城市2004年前5位伤害原因为交通事故、钝器伤、跌落、刺伤和中毒;浅表损伤、开放性伤口、骨折、中毒居伤害程度前4位.高发人群为青壮年,是伤害预防中的重点.

An Investigation on the Clinical Injuries among Patients in Hospitals in Gaocheng City in 2004

Objective To investigate the constitution and the severity of the injuries among rural residents in Hebei province.Methods 7 065 cases and their records,which were classified in accordance with the criteria of WHO Injury Surveillance Guidelines,were collected from the 26 hospitals of Gaocheng City from December 1,2003 to November 30,2004.Results The leading five injury causations in Gaocheng City in 2004 were traffic injury,blunt hit by person or object,fall off,stab and poisoning,which accounted for 35.99%,24.95%,17.69%,8.95% and 7.91% respectively.The constituent ratio of male was higher than that of female except for poisoning.Among all injuries,the unintentional ones(account for 78.71%) ranked the first,the second intentional assault(12.28%),and the third self-injured(suicide or attempted suicide,3.71%).The constituent ratio of the two formers mentioned above in male was higher than that in female;however,the constituent ratio of self-injuries in female was higher than that in male.The injured people aged 25 to 44 years was 2 734 cases accounting for 38.70%,in which the constituent ratio of male(71.01%) was higher than that of female(28.99%).Traveling was the activity which was the most liable to injuries(36.33%),often happening on highway or streets(45.64%).Conclusion The leading five causations of injuries in Gaocheng City were traffic injury,stuck/hit by person or object,fall,stab and poisoning in 2004;The leading four injury types were superficial injury,open wound,fracture and poisoning.The high risk population was the young people and they were the important group in injury prevention.