中华急诊医学杂志
中華急診醫學雜誌
중화급진의학잡지
CHINESE JOURNAL OF EMERGENCY MEDICINE
2006年
1期
6-12
,共7页
目的中国目前正在经历老年人口与交通车辆的同时快速增长.随着人口的老龄化加剧以及社会的发展,老年驾驶者人数将预期明显增加.国际上对老年人交通安全的经验可能对中国即将增加的老年驾驶者有借鉴作用.方法检索并分析了中国以及一些发达国家,如美国等有关老年驾驶者以及交通事故安全的论文及论著.结果尽管老年人较少开车且普遍地使用安全带,但他们交通事故发生数以及死亡率较其他年龄组高.老年人视觉以及感知功能的损害也增加了发生交通事故的危险性,同时也产生了其独特的事故形式.与年轻人相比,在相同的受伤程度下,老年人体格上的衰退和疾病因素可能对会产生更坏的结果.虽然老年驾驶者在中国还是少数,与其他年龄组相比,老年人有较高的交通事故伤害率、步行者死亡率和较高的农村老年人受害率.结论国际上对老年人交通安全的经验,比如更好的道路安全设计,高可视安全标识和安全带法律的实施,安全带使用的公共教育,以及老年驾驶证的更新等对中国的交通安全设计者以及法律的制定者可能会有帮助.这些经验对损伤预防研究者在老年人交通事故危险因素的识别方面,以及对工程师在驾驶环境和车辆设计等方面也有着重要的意义.
目的中國目前正在經歷老年人口與交通車輛的同時快速增長.隨著人口的老齡化加劇以及社會的髮展,老年駕駛者人數將預期明顯增加.國際上對老年人交通安全的經驗可能對中國即將增加的老年駕駛者有藉鑒作用.方法檢索併分析瞭中國以及一些髮達國傢,如美國等有關老年駕駛者以及交通事故安全的論文及論著.結果儘管老年人較少開車且普遍地使用安全帶,但他們交通事故髮生數以及死亡率較其他年齡組高.老年人視覺以及感知功能的損害也增加瞭髮生交通事故的危險性,同時也產生瞭其獨特的事故形式.與年輕人相比,在相同的受傷程度下,老年人體格上的衰退和疾病因素可能對會產生更壞的結果.雖然老年駕駛者在中國還是少數,與其他年齡組相比,老年人有較高的交通事故傷害率、步行者死亡率和較高的農村老年人受害率.結論國際上對老年人交通安全的經驗,比如更好的道路安全設計,高可視安全標識和安全帶法律的實施,安全帶使用的公共教育,以及老年駕駛證的更新等對中國的交通安全設計者以及法律的製定者可能會有幫助.這些經驗對損傷預防研究者在老年人交通事故危險因素的識彆方麵,以及對工程師在駕駛環境和車輛設計等方麵也有著重要的意義.
목적중국목전정재경력노년인구여교통차량적동시쾌속증장.수착인구적노령화가극이급사회적발전,노년가사자인수장예기명현증가.국제상대노년인교통안전적경험가능대중국즉장증가적노년가사자유차감작용.방법검색병분석료중국이급일사발체국가,여미국등유관노년가사자이급교통사고안전적논문급론저.결과진관노년인교소개차차보편지사용안전대,단타문교통사고발생수이급사망솔교기타년령조고.노년인시각이급감지공능적손해야증가료발생교통사고적위험성,동시야산생료기독특적사고형식.여년경인상비,재상동적수상정도하,노년인체격상적쇠퇴화질병인소가능대회산생경배적결과.수연노년가사자재중국환시소수,여기타년령조상비,노년인유교고적교통사고상해솔、보행자사망솔화교고적농촌노년인수해솔.결론국제상대노년인교통안전적경험,비여경호적도로안전설계,고가시안전표식화안전대법률적실시,안전대사용적공공교육,이급노년가사증적경신등대중국적교통안전설계자이급법률적제정자가능회유방조.저사경험대손상예방연구자재노년인교통사고위험인소적식별방면,이급대공정사재가사배경화차량설계등방면야유착중요적의의.
Objective China is experiencing rapid growth both in the number of senior citizens and in automobiles. As the population ages,the number of elderly automobile drivers can be expected to grow. International experience on the safety of elderly drivers may be useful in anticipating the effects of the growth in the number of elderly drivers in China.Methods This study reviewed the literatures and summarized the research on elderly driver motor vehicle crash prevention both from China and some developed countries such as USA.Results Despite elderly drivers driving less as a whole and having higher seat belt compliance, their mileage-adjusted motor vehicle crash (MVC) and fatality rate is higher than any other age group. Visual and cognitive impairment among elderly drivers raises the risk of a MVC, and these conditions cause unique collision patterns. Physical fragility and co-morbidities confer a poorer outcome post MVC compared to younger drivers with equivalent injury severity. Although few elderly drivers in China, data has shown higher rate of traffic injury among elderly, higher fatality of elderly pedestrian, and higher rate of elderly victims in rural area.Conclusion International experience on the safety of elderly drivers such as better road safety design, highly visible and seatbelt law enforcement, public education in regards to seatbelt use, and adjustment for license renewal period may be helpful to the traffic safety designers and policy makers in China. These issues may also have important implications for injury prevention researchers in identifying elderly driver MVC risk factors, and engineers optimizing the driving environment and vehicle.