中华航海医学与高气压医学杂志
中華航海醫學與高氣壓醫學雜誌
중화항해의학여고기압의학잡지
CHINESE JOURNAL OF NAUTICAL MEDICINE AND HYPERBARIC MEDICINE
2009年
2期
85-87
,共3页
海水淹溺%危险因素%归因危险度
海水淹溺%危險因素%歸因危險度
해수엄닉%위험인소%귀인위험도
Seawater drowning%Risk factors%Attributable risks
目的 探讨海水淹溺的相关危险因素并进行归因危险度评价.方法 采用1:2配对病例对照研究方法,对大梅沙海滩107例海水淹溺患者进行行为和环境危险因素调查,综合评价危险因素在海水淹溺发生中的归因危险度.结果 单因素和多因素条件Logistic回归分析显示,海水淹溺与4种因素有关:深夜游泳、身体状况差、不会游泳和不熟悉海域风浪变化.4种危险因素调整人群归因危险度(ARc%)分别为28.3%、23.6%、21.1%和10.7%,综合人群归因危险度(SAR)为51.7%.结论 在海水淹溺防治中,应将引导游泳人群改变不良行为、提高游泳培训的普及率、及时通报海域的变化情况、加大海滩的管理力度等作为重要的预防策略.
目的 探討海水淹溺的相關危險因素併進行歸因危險度評價.方法 採用1:2配對病例對照研究方法,對大梅沙海灘107例海水淹溺患者進行行為和環境危險因素調查,綜閤評價危險因素在海水淹溺髮生中的歸因危險度.結果 單因素和多因素條件Logistic迴歸分析顯示,海水淹溺與4種因素有關:深夜遊泳、身體狀況差、不會遊泳和不熟悉海域風浪變化.4種危險因素調整人群歸因危險度(ARc%)分彆為28.3%、23.6%、21.1%和10.7%,綜閤人群歸因危險度(SAR)為51.7%.結論 在海水淹溺防治中,應將引導遊泳人群改變不良行為、提高遊泳培訓的普及率、及時通報海域的變化情況、加大海灘的管理力度等作為重要的預防策略.
목적 탐토해수엄닉적상관위험인소병진행귀인위험도평개.방법 채용1:2배대병례대조연구방법,대대매사해탄107례해수엄닉환자진행행위화배경위험인소조사,종합평개위험인소재해수엄닉발생중적귀인위험도.결과 단인소화다인소조건Logistic회귀분석현시,해수엄닉여4충인소유관:심야유영、신체상황차、불회유영화불숙실해역풍랑변화.4충위험인소조정인군귀인위험도(ARc%)분별위28.3%、23.6%、21.1%화10.7%,종합인군귀인위험도(SAR)위51.7%.결론 재해수엄닉방치중,응장인도유영인군개변불량행위、제고유영배훈적보급솔、급시통보해역적변화정황、가대해탄적관리력도등작위중요적예방책략.
Objective To discuss risk factors and evaluate attributable risks of seawater drowning. Methods 1:2 case pair matching study was used to investigate the behavior of 107 seawater drowning cases and the environmental risk factors along the beach of Dameisha, and then, to evaluate comprehensively the attributable risks (AR) of risk factors for the occurrence of seawater drowning. Results Analyses of single factor and single factor condition logistic regression revealed that seawater drowning is correlated with 4 factors, i.e. night swimming, health status of the swimmer, lack of swimming skill and ignorance of the changes of sea state. The attributable risks of the 4 risk factors are 28.3%, 23.6%, 21.1% and 10.7%, and that of the study population is 51.7%. Conclusions In the prevention and treatment of seawater drowning, it is an important strategy to persuade swimmers to alter their misbehavior, popularize swimming training, give in-time forecast of the changes of sea state and enhance management of beaches, so as to avoid any possible drowning incidents.
