CAJ | 학술논문

目的：分析2010年淮北市三家伤害监测哨点医院伤害病例的分布特征，为制定伤害的干预措施提供科学依据。方法对因伤害首次在哨点医院就诊的病例进行描述性分析。结果2010年共报告伤害病例4241例，男女性别比为2.18∶1；文化程度发生伤害比例最高为初中（46.4%），最低为大专及大学以上（5.0%和3.2%）；伤害发生原因前3位为机动车车祸、跌倒/坠落、钝器伤（30.75%、27.82%和13.42%）；伤害发生地前4位为公路/街道、家中、公共居住场所和工业建筑场所（36.8%、19.2%、15.1%和12.6%）；伤害发生时活动以休闲活动、驾乘工具交通和有偿工作为主(33.77%、20.68%、19.34%)；伤害性质前3位为骨折、脑震荡/脑挫裂伤、挫伤/擦伤（37.14%、21.83%、17.94%）；伤害部位前3位为头部、下肢和上肢（37.11%、23.96%和16.62%）。结论伤害男性多于女性，初中等较低文化层次的人群发生伤害比例较高。伤害主要原因为公路交通伤害和跌掉/坠落，伤害性质以骨折、脑震荡/脑挫裂伤和挫伤/擦伤为主。
목적：분석2010년회북시삼가상해감측초점의원상해병례적분포특정，위제정상해적간예조시제공과학의거。방법대인상해수차재초점의원취진적병례진행묘술성분석。결과2010년공보고상해병례4241례，남녀성별비위2.18∶1；문화정도발생상해비례최고위초중（46.4%），최저위대전급대학이상（5.0%화3.2%）；상해발생원인전3위위궤동차차화、질도/추락、둔기상（30.75%、27.82%화13.42%）；상해발생지전4위위공로/가도、가중、공공거주장소화공업건축장소（36.8%、19.2%、15.1%화12.6%）；상해발생시활동이휴한활동、가승공구교통화유상공작위주(33.77%、20.68%、19.34%)；상해성질전3위위골절、뇌진탕/뇌좌렬상、좌상/찰상（37.14%、21.83%、17.94%）；상해부위전3위위두부、하지화상지（37.11%、23.96%화16.62%）。결론상해남성다우녀성，초중등교저문화층차적인군발생상해비례교고。상해주요원인위공로교통상해화질도/추락，상해성질이골절、뇌진탕/뇌좌렬상화좌상/찰상위주。
Objective To analyze the distribution of 4241 injured cases in 2010 from three injury monitoring sentinel hospitals in Huaibei City. Methods To doescriptive analysis on cases in the sentinel hospitals because of injury for the first time. Results 4241 in?jured cases were reported in 2010. The sex ratio of male to female was 2.18:1. Level of junior middle school education had the highest constituent ratio (46.4%) and the college degree or above had the lowest ratio (5.0%and 3.2%). The top 3 causes of injuries were motor vehicle accidents, fall and blunt injures (30.75%, 27.82% and 13.42%). The major places where injuries occurred were road/street, home, public dwelling place and construction site (36.8%, 19.2%, 15.1%and 12.6%). Injury occurred mainly at the time of the activi?ties to leisure activities, driving and paid work (33.77%, 20.68%and19.34%). Injure properties of top three were fracture, bruise cere?bral concussion/cerebral concussion and contusion and abrasion (37.14%, 21.83%and 17.94%). Injured parts of the top three were the head, lower and upper limbs(37.11%、23.96%and1 6.62%). Conclusion Male injured cases more than female, higher incidence of in?jury occurred on people with lower education level. Main reasons caused injuries were road traffic accidents and fall. Injures include fracture, bruise cerebral concussion/cerebral.