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目的分析大连市老龄人口伤害发生的分布特点及流行规律,为制定干预性措施提供依据。方法运用描述流行病学方法,将2006年1—12月在大连市3所3级甲等医院急诊室、其他门急诊及临床科室就诊后诊断为伤害的全部首诊病例作为监测对象并进行分析。结果全年3所医院共报告60岁以上老年伤害病例911例,男性390人,女性521人,男∶女为0.75∶1。前5位发生原因依次为跌倒/坠落(42.59%)、机动车车祸(24.04%)、钝器伤(13.28%)、刀/锐器伤(10.21%)、非机动车车祸(1.32%);发生地点主要是家中(38.86%)、公路/街道(23.93%)、贸易和服务场所(24.82%),公共居住场所(13.06%)、工业和建筑场所(2.41%);伤害部位主要是头部(27.22%)、下肢(22.50%)、上肢(22.%%)、躯干(14.82%);大多数伤害属于非故意伤害(86.39%);57.19%的患者是轻度患者,治疗后可回家(69.59%),死亡仅占0.22%。结论由于身体功能的衰退,老年人是各种伤害的高发人群,但所处环境相对较固定,活动范围较局限,因此伤害原因较集中,主要以跌倒/坠落和交通伤害为主,应强化针对性的防范措施。
Objective To analyze the distribution characteristics and epidemic patterns of the elderly population injuries in Dalian and provide the basis for making intervention measures. Methods Descriptive epidemiological methods were used to monitor and analyze all the first cases diagnosed as having been injured in the emergency department of other 3 outpatient clinics and other clinical departments in Dalian from January to December 2006. . Results A total of 911 elderly patients aged over 60 were reported in 3 hospitals in the year, 390 males and 521 females, with a ratio of 0.75: 1 for males and females. The top 5 causes were falling / falling (42.59%), motor vehicle accident (24.04%), blunt injury (13.28%), knife / sharp injury (10.21%) and non-motor vehicle accident (38.86%), roads / streets (23.93%), trade and service establishments (24.82%), public places of residence (13.06%), industrial and construction sites (2.41%), and the main damage areas were head (27.22%), lower limbs (22.50%), upper limbs (22. %%) and trunk (14.82%). Most of the injuries were unintentional injuries (86.39%); 57.19% Home (69.59%), death only 0.22%. Conclusion Due to the decline of physical function, the elderly are the most frequent people with various kinds of injuries. However, the environment is relatively fixed and the range of activities is limited. Therefore, the causes of injuries are mainly concentrated mainly in falls and falls and traffic injuries. Sexual precautions.