中国健康教育
中國健康教育
중국건강교육
CHINESE JOURNAL OF HEALTH EDUCATION
2015年
8期
753-755,762
,共4页
跌倒%伤害%流行特征
跌倒%傷害%流行特徵
질도%상해%류행특정
Fall%Injury%Epidemiology
目的：探讨大连市跌倒伤害的流行现状，为制定有针对性的干预策略提供依据。方法以全国伤害监测系统为平台，收集大连市3所伤害监测医院的急诊科首诊为跌倒的伤害患者作为研究对象，回顾性横断面分析其流行特征。结果在108759例伤害监测病例中跌倒病例为30551例，占所有哨点医院就诊伤害病例的28.1％，其中男性（17300例，56.6％）女性（13251例，43.4％）性别比为1.3∶1；年龄主要集中在25～64岁之间，占所有病例的62.0％；专业技术人员（5039例，16.5％）和离退休人员（4394例，14.4％）位居职业分布的前2位；跌倒发生场所占比最高的是公共居住场所（24.6％），其次为家中（22.2％）；5岁以下儿童和65岁以上人群最常见的受伤部位均为上肢，分别占78.4％和29.7％，其余人群均以下肢伤害为主。随着年龄的增长跌倒伤害造成的骨折和住院的比例呈逐渐增长的趋势。结论公共居住场所和家庭是跌倒伤害发生的主要场所，不同年龄人群跌倒伤害的部位和性质均有所不同，建议针对不同的活动场所和年龄组开展相应的跌倒预防干预项目。
目的：探討大連市跌倒傷害的流行現狀，為製定有針對性的榦預策略提供依據。方法以全國傷害鑑測繫統為平檯，收集大連市3所傷害鑑測醫院的急診科首診為跌倒的傷害患者作為研究對象，迴顧性橫斷麵分析其流行特徵。結果在108759例傷害鑑測病例中跌倒病例為30551例，佔所有哨點醫院就診傷害病例的28.1％，其中男性（17300例，56.6％）女性（13251例，43.4％）性彆比為1.3∶1；年齡主要集中在25～64歲之間，佔所有病例的62.0％；專業技術人員（5039例，16.5％）和離退休人員（4394例，14.4％）位居職業分佈的前2位；跌倒髮生場所佔比最高的是公共居住場所（24.6％），其次為傢中（22.2％）；5歲以下兒童和65歲以上人群最常見的受傷部位均為上肢，分彆佔78.4％和29.7％，其餘人群均以下肢傷害為主。隨著年齡的增長跌倒傷害造成的骨摺和住院的比例呈逐漸增長的趨勢。結論公共居住場所和傢庭是跌倒傷害髮生的主要場所，不同年齡人群跌倒傷害的部位和性質均有所不同，建議針對不同的活動場所和年齡組開展相應的跌倒預防榦預項目。
목적：탐토대련시질도상해적류행현상，위제정유침대성적간예책략제공의거。방법이전국상해감측계통위평태，수집대련시3소상해감측의원적급진과수진위질도적상해환자작위연구대상，회고성횡단면분석기류행특정。결과재108759례상해감측병례중질도병례위30551례，점소유초점의원취진상해병례적28.1％，기중남성（17300례，56.6％）녀성（13251례，43.4％）성별비위1.3∶1；년령주요집중재25～64세지간，점소유병례적62.0％；전업기술인원（5039례，16.5％）화리퇴휴인원（4394례，14.4％）위거직업분포적전2위；질도발생장소점비최고적시공공거주장소（24.6％），기차위가중（22.2％）；5세이하인동화65세이상인군최상견적수상부위균위상지，분별점78.4％화29.7％，기여인군균이하지상해위주。수착년령적증장질도상해조성적골절화주원적비례정축점증장적추세。결론공공거주장소화가정시질도상해발생적주요장소，불동년령인군질도상해적부위화성질균유소불동，건의침대불동적활동장소화년령조개전상응적질도예방간예항목。
Objective To study the epidemiological distribution of fall-injury in Dalian,and provide direction for injury intervention measures.Methods A retrospective cross-sectional study was conducted and epidemiological characteris-tics of patients were analyzed,whose first visit to emergency department was diagnosed as fall related injury based on Nation-al Injury System.Results In 108 759 cases of injury surveillance cases,fall were 30 551 cases,accounted 28.1% for all injury cases,including 17 300 cases of male (56.6%),female 13 251 cases (43.4%),the sex ratio was 1.3∶1.The age of cases mainly concentrated between age 25 -64,accounted for 62.0% (5039 cases of professional and technical, 16.5%),and then the retired (4394 cases,14.4%).Fall happened in community (24.6%),followed at home (22.2%).The most common positions of injury in children under 5 years old and above the age of 65 were upper limb, 78.4% and 29.7% respectively,the remaining were lower limb.Along with the age growth,the rates of fall-injury caused by fracture and hospitalization were gradually increased.Conclusion Community and home were the main place of fall injury.Severity,positions and properties of fall injury are different in different age groups,prevention intervention projects should be carried out according to different places and age group.
