浙江省医院急诊室故意伤害监测分析

目的了解浙江省急诊室伤害监测中故意伤害发生情况及特征。方法对2004年10月~2006年10月期间首次就诊于浙江省6个县(市、区)18家监测医院门急诊的故意伤害病例进行调查。数据统计采用SPSS统计学软件,率的差异用χ2检验,P0.05为差异有统计学意义。结果两年期间共监测故意伤害者6 023例,占伤害监测总数13.61%,他伤/杀与自伤/杀人数比为9.11∶1;故意伤害年龄分布以15~44岁(77.89%)为主,男女性别比为2.38∶1,农民工(30.32%)在各职业人群中所占比例最高;他伤/杀主要发生在街道/城区(41.39%)和家中(23.28%),自伤/杀高发于家中(77.14%);发生时间以空闲时(65.08%)居多;受伤性质自伤/杀以中毒(46.70%)和刀割伤(25.38%)常见,他伤/杀主要为裂伤(30.90%)、血肿/瘀伤(18.76%)和击伤(12.37%);受伤程度多为中等(52.45%)或轻微(41.28%)。结论本研究表明故意伤害的预防控制已不容忽视,应针对重点人群采取有效干预策略以减少故意伤害发生。

Intentional injuries in Zhejiang province:an emergency room based surveillance

Objective To explore the prevalence and characteristics of intentional injuries in Zhejiang province.Methods An emergency room based intentional injury surveillance was conducted from October 1st,2004 to October 30th,2006 in 18 hospitals（6 counties）,Zhejiang province.Results The study had 6 023 patients of intentional injuries,which accounted for 13.61% of all injury patients.The ratio of patients being hurt by others to those self-hurt was 9.11∶1.Intentional injuries were most frequently occurred in males（70.43%）,aged 15-44 years old（77.89%） and farmers working away from home（30.32%）.Street（41.39%） and home（77.14%）were the most common places of homicide/being hurt by others and of suicide/self-hurt,respectively.The intentional injuries rarely occurred during work hours.The most frequently observed types of suicide/self hurt were poisoning（46.70%）and cut（25.38%）,while that of homicide/being injured by others were laceration（30.90%）,hematoma（18.76%） and struck（12.37%）.The most of injuries were moderate or mild（41.28%）.Conclusion The prevention and control of intentional injuries should be strengthened,especially among the high risk populations.