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目的了解拉萨市学生伤害流行病学特征及现状,为探索学生伤害干预应对策略,降低伤害发生率及死亡率提供科学依据。方法应用描述和分析流行病学的方法,对2006—2015年拉萨市3所哨点监测医院的伤害数据进行统计描述和分析。结果共收集拉萨市2006—2015年间学生伤害事件2 142例,以轻度(1 682例,78.52%)、非故意(1 832例,85.53%)伤害为主,高危人群是5~18岁(1 780例,83.10%)、男性(1 500例,70.03%)、初中及以下学历(1 797例,83.89%)、本市/县户籍(1 379例,64.38%)人群,高危地点是学校(790例,36.88%)、公路/街道(605例,28.24%),高危时间是每年的4月(234例,10.92%)和11月(310例,14.47%),伤害原因主要是跌倒/坠落(1 003例,46.83%)。不同性别、户籍、文化程度的学生,其伤害高发地点顺位不同(χ~2值分别为38.40,81.78,108.22,P值均<0.05);不同性别、户籍、文化程度的学生,伤害发生原因顺位也不同(χ~2值分别为31.20,53.88,69.50,P值均<0.05)。结论学生是伤害的高发人群,需要分性别、户籍、文化程度采取不同的干预措施。
Objective To understand the epidemiological characteristics and current situation of student injury in Lhasa, and to provide a scientific basis for exploring coping strategies of student injury intervention and reducing the incidence of injury and mortality. Methods Descriptive and analytical epidemiological methods were used to describe and analyze the injury data of 3 sentinel surveillance hospitals in Lhasa from 2006 to 2015. Results A total of 2 142 student injury cases were collected in Lhasa from 2006 to 2015, with mild (1 682 cases, 78.52%) and unintentional (1 832 cases, 85.53%) injuries and 5 to 18 years old 1 780 cases, 83.10%), men (1 500 cases, 70.03%), junior high school education and below (1 797 cases, 83.89%), population in this city / county (1 379 cases, 64.38% (790 cases, 36.88%), road / street (605 cases, 28.24%), high risk time is April (234 cases, 10.92%) and November (310 cases, 14.47% Fall (1 003 cases, 46.83%). Students of different genders, household registration and educational level had different rankings in the places with higher injuries (χ ~ 2 = 38.40, 81.78, 108.22, P <0.05 respectively). Students with different gender, household registration and educational level had injuries The rank was also different (χ ~ 2 values were 31.20,53.88,69.50, P values were <0.05). Conclusions Students are high risk groups of injuries and need to take different interventions according to gender, household registration and educational level.