摘要
目的了解广东省急诊伤害的流行特征，探索哨点医院监测模式，为伤害的预防控制提供依据。方法采用多阶段分层随机整群抽样方法随机抽取2个城市（深圳、珠海）、2个县（连平、新兴）。城市点选择两家三级医院、一家二级医院；或一家三级医院、两家二级医院；农村选择该县的一家县级医院、一家乡卫生院共10家医院作为哨点监测医院。2004年1月～12月在哨点医院首诊的患者为监测对象。结果共报告有效数据42567例，前5位发生原因依次为钝器伤（29．85％）、跌落（25．83％）、交通事故（16．76％）、刺伤（15.57％）及其他（6．73％）；发生地点主要是工作场所（41．14％）及公路／街道（30．97％）；发生时的活动工作占了50．83％；以非故意伤害（86．53％）及轻度伤害（79．96％）为主；伤害发生高峰时间主要集中在0、9、15、18及21时。结论职业伤害、交通伤害是干预重点，加强安全生产保障措施、完善交通安全管理及培养良好的交通习惯是主要的预防措施。
Objective To understand the epidemic characteristics of patients visited the emergency departments in hospital, and to explore the surveillance model in sentry surveillance hospital for providing basis on control and prevention measures of injury. Methods 10 sentry surveillance hospitals were selected in four district/city by multistage randomized cluster sampling,The patients primarily visited the 10 sentry surveillance hospitals due to injury in 2004 were enrolled as the study objects. Results 42 567 valid data was reported.The rank causes of injurys were blunt force （29.85%）, fall （25,83%）, traffic injury （6,73%）, stab/cut （ 15.57 % ） and other （ 6.73 % ） . Most injurys take place in working place （ 41.14% ） and street/highway （ 30,97 % ） , The major activity at the time the event occurred was working （50.83%） ,Unintentional injury composed of 86,53% of all cases.Minor degree was tho major severity （79.96%） . The rush hour was 0 ： 00 , 9：00, 15：00, 18：00and21：00. Conclusion Occupation injury and traffic injury should be regarded as the focus of future intervention. Protection measure of safe production and traffic safety management should be improved, and correct traffic habit should be cultivated.
出处
《中国预防医学杂志》
CAS
2006年第4期247-250,共4页
Chinese Preventive Medicine
关键词
伤害
急诊室
监测
医院
Injury
Emergency departments
Surveillance
Hospital
