2006-2013年江苏省老年伤害监测病例分布特征分析

目的 掌握江苏省伤害哨点医院门急诊就诊老年病例的分布特征，从而为制定有效的伤害防治策略提供依据。方法 对2006-2013年因伤害首次在江苏省伤害监测哨点医院门急诊就诊的60岁及以上老年病例进行描述分析。结果 2006-2013年江苏省6家监测医院共报告老年伤害病例52 818例:老年伤害的发生原因前三位依次为跌倒/坠落伤（40.48%）、道路交通伤（27.79%）、刀/锐器伤（9.95%）；伤害经常发生的地点为家中（44.00%）；伤害发生时活动主要为娱乐活动（45.15%）；伤害性质位于前三位的是挫伤/擦伤（38.07%）、骨折（26.99%）和锐器伤/咬伤/开放伤（20.37%）；伤害部位前三位依次为下肢（27.98%）、上肢（24.48%）和头部（22.24%）。结论 无论是城市还是农村，伤害发生的原因均以跌倒/坠落伤和道路交通伤为主，因此应实施有针对性的干预措施，降低老年伤害的发生率。

Analysis on the distribution characteristics of elderly injury patients in Jiangsu Province from 2006 to 2013

Objective The study aimed at learning the distribution characteristics of the elderly injury patients through collecting the cases in Jiangsu Injury Surveillance hospitals and providing the basic information for the development of effective injury prevention strategy. Methods The injury data was analyzed of the elderly aged 60 years and above from the Jiangsu Injury Surveillance hospitals from 2006 to 2013. The cases were diagnosed as injuries for the first-time. Results A total of 52 818 cases was investigated. The top three causes of injuries were as follows: fall (40.48%), traffic-related (27.79%), knife or sharp instrument (9.95%). Most injuries occurred at home (44.00%). Recreation (45.15%) was the major activity leading to injury. The most common injuries were bruise(38.07%), fractures(26.99%), and sharp or bite or open injuries(20.37%). The lower limbs(27.98%),upper limbs(24.48%)and head(22.24%)were easily impaired. Conclusions The main causes of injuries were fall and traffic-related injury no matter in city or rural areas, thus it is important to take the targeted intervention measures to decrease the injury incidence.