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目的掌握厦门市湖里区伤害的发生、发展规律,为制定防制策略及相应的卫生政策提供科学依据。方法用分层随机抽样方法,抽取辖区内二级、三级医院各1家为哨点监测医院,收集发生于2007年1月1日-2009年12月31日伤害病例。结果 2007-2009年湖里区共报告伤害病例140 147例,男女性别比1.98:1;伤害发生前3位类型分别是钝器伤40 236例(28.71%)、跌倒/坠落35 798例(25.54%)、刀/锐器伤32 006例(22.84%);主要人群为生产运输设备操作及有关人员(34.33%),商业服务业人员(20.47%)、办事和有关人员(10.23%);伤害主要威胁25~44岁年龄组人群(48.31%)。结论青壮年是伤害防治的重点人群,预防和控制职业伤害是干预的重点,加强生产安全保护措施和创造安全的环境是主要的预防措施。
Objective To grasp the occurrence and development of injuries in Huli district of Xiamen city and to provide a scientific basis for formulating prevention and control strategies and corresponding health policies. Methods A stratified random sampling method was used to select one second and third level hospitals in the district as sentinel surveillance hospitals. Injuries were collected from January 1, 2007 to December 31, 2009. Results A total of 140,147 cases of injuries were reported in Huli District during 2007-2009, with a male-to-female ratio of 1.98: 1. The three types of injuries were 40 236 (28.71%) with blunt trauma and 35 798 cases of falling / falling (34.33%), commercial service workers (20.47%), service and related personnel (10.23%); injuries The main threat to the age group of 25 to 44 age groups (48.31%). Conclusion Young adults are the key population for prevention and control of injuries. Prevention and control of occupational injuries are the main points of intervention. Strengthening production safety protection measures and creating safe environment are the main preventive measures.