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目的了解惠安县伤害监测系统中道路交通伤害门(急)诊就诊病例的分布特点。方法描述性分析2009~2014年因道路交通伤害首次在惠安县伤害监测系统哨点医院门/急诊就诊的病例。结果 2009~2014年全国伤害监测系统(NISS)共收集道路交通伤害病例28 116例,占非故意伤害病例总数的41.34%(28 116/68 013),其中机动车车祸占82.25%(23 124/28 116)。性别比为1.61∶1(17 324/10 744),30~44岁占病例总数34.20%。伤害发生高峰时间段为9:00~11:00(28.45%)和15:00~17:00(20.68%)。发生伤害时的活动居前2位均为驾乘交通工具(87.87%)和休闲活动(7.97%)。道路交通伤害病例的主要伤害性质为挫伤/擦伤(49.07%)、脑震荡、脑挫裂伤(22.56%)。发生在头部的伤害所占比例均为首位(29.41%、27.31%、29.78%、29.34%、26.88%、33.67%),头部受伤所占比例随着年龄增加而减少。伤害病例以轻度为主(65.77%),≥65岁重度病例所占的比例最大(5.16%)。结论历年道路交通伤害病例主要为男性青壮年,伤害原因以机动车车祸为主。
Objective To understand the distribution characteristics of road traffic injury door (emergency) consultation cases in Huian County injury monitoring system. Methods Descriptive analysis of 2009 to 2014 for the first time in Huian County Huosu monitoring system sentinel hospital door / emergency treatment for road traffic injuries. Results A total of 28 116 road traffic injuries cases were collected by the National Injury Surveillance System (NISS) from 2009 to 2014, accounting for 41.34% (28 116/68 013) of the total number of unintentional injury cases, of which motor vehicle accidents accounted for 82.25% (23 124 / 28 116). The sex ratio was 1.61: 1 (17 324/10 744), and the total number of cases aged 30-44 was 34.20%. The peak time of injury was 9: 00-11: 00 (28.45%) and 15: 00-17: 00 (20.68%). The top two activities in the event of injury were transportation (87.87%) and leisure activities (7.97%). The main injuries of road traffic injuries were contusion / abrasion (49.07%), concussion and cerebral contusion (22.56%). Head injuries accounted for the highest proportion (29.41%, 27.31%, 29.78%, 29.34%, 26.88%, 33.67% respectively). The proportion of head injuries decreased with age. Mild cases were the most common (65.77%), and severe cases ≥65 years old (5.16%). Conclusion The main road traffic injuries over the years are mainly male and female, the main cause of injury to motor vehicle accidents.