中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2010年
8期
890-893
,共4页
邓晓%吴春眉%蒋炜%李思杰%段蕾蕾
鄧曉%吳春眉%蔣煒%李思傑%段蕾蕾
산효%오춘미%장위%리사걸%단뢰뢰
伤害监测%医院%老年%分布特征
傷害鑑測%醫院%老年%分佈特徵
상해감측%의원%노년%분포특정
Injury surveillance%Hospital%Elderly%Distribution characteristics
目的 了解中国老年伤害门急诊就诊情况的分布特点.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室就诊的60岁及以上老年伤害病例进行描述性分析.结果 2006-2008年老年伤害的发生原因前三位是跌倒/坠落、道路交通伤害和钝器伤,合计占老年伤害的70%以上.3年中老年伤害发生地点集中于家中(46.25%、44.44%、46.23%)、公路/街道(30.95%、28.51%、28.61%)和公共居住场所(8.89%、11.57%、11.25%).3年中老年伤害发生时的活动主要为休闲活动(42.14%、48.09%、48.59%)、家务/学习(21.15%、18.21%、18.15%)、驾乘交通工具(13.67%、13.80%、13.56%).3年中老年伤害病例以非故意伤害为主(91.34%、92.84%、93.09%),老年自残/自杀的伤害发生原因主要为中毒和刀/锐器伤.3年中老年伤害的伤害性质主要为挫伤、擦伤(36.07%、38.18%、38.50%),骨折(25.65%、22.47%、23.77%),锐器伤、咬伤、开放伤(17.19%、18.21%、17.46%);伤害部位集中于头部(26.32%、25.59%、25.90%)、下肢(25.74%、25.70%、25.26%)、上肢(21.01%、21.14%、21.37%);严重程度以轻度为主(60.53%、65.09%、63.58%);伤害结局以治疗后回家为主(64.11%、68.53%、67.99%).结论 2006-2008年全国伤害监测老年伤害病例占总伤害病例的比例逐年上升,病例分布特征无明显变化.跌倒/坠落是我国老年人高发并造成严重影响的伤害类型.
目的 瞭解中國老年傷害門急診就診情況的分佈特點.方法 對2006-2008年因傷害首次在全國傷害鑑測繫統哨點醫院門急診室就診的60歲及以上老年傷害病例進行描述性分析.結果 2006-2008年老年傷害的髮生原因前三位是跌倒/墜落、道路交通傷害和鈍器傷,閤計佔老年傷害的70%以上.3年中老年傷害髮生地點集中于傢中(46.25%、44.44%、46.23%)、公路/街道(30.95%、28.51%、28.61%)和公共居住場所(8.89%、11.57%、11.25%).3年中老年傷害髮生時的活動主要為休閒活動(42.14%、48.09%、48.59%)、傢務/學習(21.15%、18.21%、18.15%)、駕乘交通工具(13.67%、13.80%、13.56%).3年中老年傷害病例以非故意傷害為主(91.34%、92.84%、93.09%),老年自殘/自殺的傷害髮生原因主要為中毒和刀/銳器傷.3年中老年傷害的傷害性質主要為挫傷、抆傷(36.07%、38.18%、38.50%),骨摺(25.65%、22.47%、23.77%),銳器傷、咬傷、開放傷(17.19%、18.21%、17.46%);傷害部位集中于頭部(26.32%、25.59%、25.90%)、下肢(25.74%、25.70%、25.26%)、上肢(21.01%、21.14%、21.37%);嚴重程度以輕度為主(60.53%、65.09%、63.58%);傷害結跼以治療後迴傢為主(64.11%、68.53%、67.99%).結論 2006-2008年全國傷害鑑測老年傷害病例佔總傷害病例的比例逐年上升,病例分佈特徵無明顯變化.跌倒/墜落是我國老年人高髮併造成嚴重影響的傷害類型.
목적 료해중국노년상해문급진취진정황적분포특점.방법 대2006-2008년인상해수차재전국상해감측계통초점의원문급진실취진적60세급이상노년상해병례진행묘술성분석.결과 2006-2008년노년상해적발생원인전삼위시질도/추락、도로교통상해화둔기상,합계점노년상해적70%이상.3년중노년상해발생지점집중우가중(46.25%、44.44%、46.23%)、공로/가도(30.95%、28.51%、28.61%)화공공거주장소(8.89%、11.57%、11.25%).3년중노년상해발생시적활동주요위휴한활동(42.14%、48.09%、48.59%)、가무/학습(21.15%、18.21%、18.15%)、가승교통공구(13.67%、13.80%、13.56%).3년중노년상해병례이비고의상해위주(91.34%、92.84%、93.09%),노년자잔/자살적상해발생원인주요위중독화도/예기상.3년중노년상해적상해성질주요위좌상、찰상(36.07%、38.18%、38.50%),골절(25.65%、22.47%、23.77%),예기상、교상、개방상(17.19%、18.21%、17.46%);상해부위집중우두부(26.32%、25.59%、25.90%)、하지(25.74%、25.70%、25.26%)、상지(21.01%、21.14%、21.37%);엄중정도이경도위주(60.53%、65.09%、63.58%);상해결국이치료후회가위주(64.11%、68.53%、67.99%).결론 2006-2008년전국상해감측노년상해병례점총상해병례적비례축년상승,병례분포특정무명현변화.질도/추락시아국노년인고발병조성엄중영향적상해류형.
Objective To describe the distribution of injuries among the elderly through hospital based National Injury Surveillance System (NISS), and to provide basic information for prevention of injury among the elderly. Methods Data on injuries among the elderly aged 60 years and above was descriptively analyzed from the Chinese NISS from 2006 to 2008. Using the data of NISS from 2006 to 2008, information was collected on those cases who were diagnosed as injuries for the first-time in the site hospitals. Information included demographic characteristics, features of the injury events, and clinical characteristics of injuries. SPSS 16.0 software was used for data analysis.Results The leading causes of injuries among the elderly were: falls, road traffic injuries, and blunt injuries, which were in total accounting for more than 70% of all the injuries among the elderly. Most of the injuries occurred at home (46.25 %, 44.44%, 46.23 % ), on the roads ( 30.95%, 28.51%, 28.61% )and in the public residences (8.89%, 11.57%, 11.25% ). Recreation activates (42.14%, 48.09%,48.59%) ,housework/study (21.15%, 18.21%, 18.15%) and driving (13.67%, 13.80%, 13.56%) were the three major activities when injuries took place. Most injuries among the elderly were unintentional (91.34%, 92.84%, 93.09% ). The leading causes of suicide of the elderly were poisoning and sharp injury. The most common natures of injuries were bruise (36.07%, 38.18%, 38.50% ), fractures (25.65%, 22.47%, 23.77% ), and sharp/bite/open injuries ( 17.19%, 18.21%, 17.46% ) while the most injured part of bodies were head (26.32%, 25.59%, 25.90%), lower limbs (25.74%, 25.70%, 25.26%)and upper limbs (21.01%,21.14%,21.37%). Most of the injuries were minor ones (60.53%,65.09%,63.58% ), and patients mostly went home after treatment (64.11%, 68.53%, 67.99% ). Conclusion According to NISS, the proportion of injuries among the elderly in all injuries kept increasing from 2006 to 2008, while distribution of injuries among the elderly being stable. Falls was the most common injury type for the elderly which also brought along bad outcome. Falls was the priority for injury prevention among the elderly.
