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目的了解上海市松江区伤害流行特征及其变化趋势,为制定有效的综合干预措施提供科学依据。方法收集2007年1月1日～2010年12月31日,到松江区3家综合性医院及14家社区卫生服务中心所有相关科室就诊,且被诊断为伤害的首诊病例的伤害监测报告卡,参照世界卫生组织WHO伤害监测指南分类标准进行归类和统计分析。结果松江区哨点医院伤害病例逐年增加,共收集伤害报告卡256 686例。男女性别比为1.92∶1,性别比差距逐年减小(P<0.001);伤害年龄分布集中在25～44岁的青壮年劳动人群(40.19%);伤害病例的常见职业为生产运输设备操作人员及有关人员(26.53%)、商业/服务业人员(19.73%)、专业技术人员(14.25%);每年导致伤害发生的前3位原因依次为物体/器具机械性作用(包括钝器伤、锐器伤、火器伤)(39.46%)、跌倒/坠落(35.24%)、交通伤害(18.33%);伤害者户籍构成中,外省市伤害例数呈递增趋势,并于2010年达到最高(61.87%);伤害意图以非故意伤害为主(92.46%),逐年递增,而自残/自杀伤害及故意伤害呈逐年递减趋势(P<0.001)。结论松江区伤害病例前3位原因为物体/器具机械性作用、跌倒/坠落、交通伤害,常见职业为生产运输设备操作人员及有关人员、商业/服务业人员、专业技术人员,非故意伤害为今后松江区伤害防治的重点。
Objective To understand the epidemiological characteristics of injuries and their changing trend in Songjiang District of Shanghai and provide a scientific basis for formulating effective comprehensive intervention measures. Methods From January 1, 2007 to December 31, 2010, the Injury Monitoring Report Card of the first visit to all the relevant departments of the three general hospitals and 14 community health service centers in Songjiang District was collected and was diagnosed as having been injured , According to the World Health Organization WHO classification guidelines for injury monitoring classification and statistical analysis. Results Songjiang sentinel hospital injury cases increased year by year, a total of 256 686 cases were collected injury report card. The gender ratio was 1.92: 1, and the gender gap was decreasing year by year (P <0.001). The working age population distribution was mainly concentrated in the young and middle-aged working population (25.19 years old) (40.19%). The occupational injuries were common among the operators (26.53%), commercial / service workers (19.73%) and professional technicians (14.25%). The top three causes of injuries each year are the mechanical effects of objects / apparatus (including blunt trauma and sharpness (39.46%), falling / falling (35.24%) and traffic injuries (18.33%). The number of injury cases registered by residents in other provinces and cities increased gradually and reached the highest in 2010 (61.87%) %). The main intention of injury was unintentional injury (92.46%), increasing year by year, while the rate of self-harm / suicide and intentional injury decreased year by year (P <0.001). Conclusion The top 3 causes of injuries in Songjiang District are the mechanical effects of objects / apparatus, falling / falling, and traffic injuries. Common occupations are operators and related personnel for the production of transportation equipment, commercial / service personnel and professional technicians. The unintended injuries are Songjiang injury prevention and control in the future focus.