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目的探讨2009-2010年浙江省60岁及以上老年人伤害流行病学特征,为采取科学有效的防制措施提供依据。方法通过网络报告的方式收集2009-2010年浙江省9个地区28家哨点医院的首诊老年伤害患者(≥60岁)的信息,对老年伤害的三间分布、伤害情况及后果进行分析。结果共调查老年伤害病例19412例(性别比1.14∶1);主要直接原因是跌/坠落伤、交通伤、动物伤;伤害地点构成前3位为家中、街道/城区、工作场所;伤害发生集中时段为上午8～10点与下午1～4点,夏秋季高于冬春季;老年人受伤部位前3位为下肢、上肢和头部;受伤严重程度主要以轻到中度为主,严重伤害比例男性高于女性(χ2=11.650,P<0.001),结局以处理后回家为主;伤害意图大部分为意外伤害,自伤/自杀仅占0.58%,自伤的主要原因为中毒。结论老年人伤害在发生时间、发生地点和伤害类型等因素上较其他年龄组有其特殊性,应针对性地采取预防措施,以有效减少老年人伤害的发生。
Objective To explore the epidemiological characteristics of injuries in the elderly aged 60 years and older in Zhejiang Province from 2009 to 2010, and provide a basis for scientific and effective prevention and control measures. Methods The information of senile patients with senile injuries (≥60 years old) from 28 sentinel hospitals in 9 districts of Zhejiang Province from 2009 to 2010 was collected through online reporting. The three distributions, injuries and consequences of senile injuries were analyzed. Results A total of 19412 cases of elderly injuries were investigated (sex ratio 1.14:1). The main direct causes were falls and falls, traffic injuries and animal injuries. The first three places were home, street / urban areas and work places. The injuries were concentrated The periods were from 8 am to 10 am and from 1 pm to 4 pm, with summer and autumn being higher than those in winter and spring. The top three injured parts of the elderly were the lower extremities, the upper extremities and the head. The severity of the injuries was mainly mild to moderate with serious injuries The proportion of males was higher than that of females (χ2 = 11.650, P <0.001). The main outcome was after treatment. Most of them were accidental injury, only 0.58% were self-injurious and suicide. The main cause of self-injury was poisoning. Conclusions Elderly injuries have their particularity in other aspects such as the time of occurrence, the place of occurrence and the type of injury compared with other age groups. Preventive measures should be taken in order to effectively reduce the incidence of injuries among the elderly.