20062011年河北省城乡伤害监测点老年伤害监测结果分析

目的了解河北省城乡老年居民伤害状况和危害程度，为制定老年伤害预防策略提供科学依据。方法收集并分析2006年1月1日至2011年12月31日首次就诊于哨点医院的老年伤害病人资料。结果共收集11039例老年伤害病例，男女性别比为1．16：1，差异有统计学意义（x2=386．67，P〈0．01）；前5位伤害原因依次是跌倒／坠落（37．78％）、机动车车祸（26．78％）、中毒（13．23％）、钝器伤（10．64％）和非机动车车祸（5．43％）；中毒是农村老年女性的第一位伤害原因（29．87％）；伤害部位主要是头部（28．68％）；大多数伤害属于非故意伤害（91．11％）；51．73％的患者是轻度伤害，伤害结局以观察／住院／转院为主（57．80％），其次是治疗后回家（40．61％）。结论河北省2006--2011年老年居民伤害主要以跌倒／坠落、非机动车车祸和中毒为主，监测的老年伤害病例比例逐年上升，应强化针对性的防范措施，以减少老年伤害的发生。

Analysis of injury surveillance among the elderly in urban and rural areas of Hebei Province, 2006 -2011

Objective To understand the prevalence of injury among the elderly in urban and rural areas of Hebei Province, and provide scientific basis for prevention strategy of injury making. Methods The data of primary injury pa- tients were collected from Jan. 1 st 2006 to Dec. 3 l st 2011 in injury surveillance plots from. Results A total of 11 039 elder- ly injury cases were collected and analyzed. Sex ratio of male to female was 1.16 ： 1, there were significant differences be- tween male and female in injuries occurrence （ X2 = 386.67, P 〈 0.01 ）. The top five injuries causations were fall （37.78%）, traffic injury by motor vehicles （26.78%）, poisoning （13.23%）, stuck/hit by person or object （10. 64% ） and traffic injury by non-motor vehicles （5.43%）, respectively. The poisoning was the first cause for female elderly in rural areas （29. 87% ）. The most common injured position was the head （28.68%）. Most of injury was uninten- tional （91.11%）. Approximately 51.73% of the patients were mild, outcome of injury were back to home （40. 61% ）, and observation/in hospital/transferred to other hospital （57.80%）. Conclusion The major causes of injuries among the elderly in Hebei Province were fall, traffic injury by motor vehicles, and poisoning, the incidence of injuries among the eld- erly in all injuries kept increasing from 2006 to 2011. Targeted preventive measures should be taken among them.