CAJ | 학술논문

目的了解中国道路交通伤害门(急)诊就诊病例的分布特点.方法对2006-2008年因伤害首次在全国伤害监测系统哨点医院门(急)诊就诊的道路交通伤害病例进行描述性分析.结果监测的3年中,道路交通伤害是门(急)诊就诊伤害病例的第二位伤害发生原因.其中男性(2006-2008年分别为64.63%、64.07%和64.38%)多于女性(分别为35.37%、35.93%和35.62%);病例构成居前三位的年龄组为30～44岁(分别为36.04%、34.82%和34.28%)、15～29岁(分别为30.74%、31.57%和30.13%)、45～64岁(分别为20.28%、20.70%和22.80%);道路交通伤害发生意图以非故意为主(分别为98.34%、99.07%和99.07%);伤害部位集中在头部(分别为35.21%、33.74%和35.77%)及下肢(分别为24.08%、24.54%和23.95%);伤害性质主要为挫(擦)伤(分别为56.47%、57.92%和58.89%)及骨折(分别为17.70%、15.84%和15.88%);伤害严重程度以轻度为主(分别为63.69%、67.24%和65.68%);伤害结局以病例在医院门(急)诊治疗后返家为主(分别为59.43%、63.76%和62.80%).结论 2006-2008年在门(急)诊就诊的道路交通伤害发生情况无明显变化,青壮年男性是道路交通伤害干预的重点人群.
목적 료해중국도로교통상해문(급)진취진병례적분포특점.방법 대2006-2008년인상해수차재전국상해감측계통초점의원문(급)진취진적도로교통상해병례진행묘술성분석.결과 감측적3년중,도로교통상해시문(급)진취진상해병례적제이위상해발생원인.기중남성(2006-2008년분별위64.63%、64.07%화64.38%)다우녀성(분별위35.37%、35.93%화35.62%);병례구성거전삼위적년령조위30～44세(분별위36.04%、34.82%화34.28%)、15～29세(분별위30.74%、31.57%화30.13%)、45～64세(분별위20.28%、20.70%화22.80%);도로교통상해발생의도이비고의위주(분별위98.34%、99.07%화99.07%);상해부위집중재두부(분별위35.21%、33.74%화35.77%)급하지(분별위24.08%、24.54%화23.95%);상해성질주요위좌(찰)상(분별위56.47%、57.92%화58.89%)급골절(분별위17.70%、15.84%화15.88%);상해엄중정도이경도위주(분별위63.69%、67.24%화65.68%);상해결국이병례재의원문(급)진치료후반가위주(분별위59.43%、63.76%화62.80%).결론 2006-2008년재문(급)진취진적도로교통상해발생정황무명현변화,청장년남성시도로교통상해간예적중점인군.
Objective To describe the distribution of road traffic injuries through hospital based National Injury Surveillance System (NISS). Methods Data of road traffic injuries was descriptively analyzed from Chinese NISS from 2006 to 2008. Results In 2006-2008, road traffic injury was the second leading cause from NISS among attendants in ERs or clinics of the hospitals,with males (64.63%, 64.07%, 64.38% ) more than females (35.37%, 35.93%, 35.62%). People aged 30-44 (36.04%, 34.82%, 34.28% ), 15-29 (30.74%, 31.57%, 30.13%), 45-64 (20.28%, 20.70%,22.80% ) years were seen more than other age groups. The majority of road traffic injuries were unintentional (98.34%, 99.07%, 99.07% ), and mostly injured in head (35.21%, 33.74%, 35.77% )and lower limbs (24.08%, 24.54%, 23.95%) which mainly as bruise (56.47%, 57.92%, 58.89%) and fractures (17.70%, 15.84%, 15.88% ). The severities of injuries were mainly minor ones (63.69%,67.24%, 65.68% ), and mostly went home right after treatments (59.43%, 63.76%, 62.80% ).Conclusion The distribution of road traffic injuries from NISS kept stable from 2006 to 2008. Young and middle aged men were the focus population for road traffic injuries intervention. Further improvement ofNISS, multi-sectional collaboration-based advocacies and education programs as well as the enforcement of road safety law seemed the good practices for road traffic injury prevention.