2014－2016年上海某社區(qū)門診監(jiān)測(cè)傷害病例分析

　　摘 要 目的：了解2014-2016年上海市金山區(qū)朱涇社區(qū)衛(wèi)生服務(wù)中心門診監(jiān)測(cè)傷害病例流行特征，為進(jìn)一步完善社區(qū)傷害監(jiān)測(cè)體系和制定本社區(qū)傷害預(yù)防控制措施提供依據(jù)。方法：收集2014-2016年朱涇社區(qū)衛(wèi)生服務(wù)中心門診傷害報(bào)告病例，采用上海市統(tǒng)一的報(bào)告卡進(jìn)行數(shù)據(jù)的填報(bào)。結(jié)果：共收集有效病例1 558例，其中男性871例，占55.90%；女性687例，占44.10%。病例年齡主要集中在45歲以上年齡段，占總病例的80.16%。傷害原因主要為運(yùn)動(dòng)不當(dāng)（38.90%）；傷害的性質(zhì)主要為扭傷/拉傷（54.49%）；傷害發(fā)生時(shí)活動(dòng)主要為家務(wù)/學(xué)習(xí)（69.13%）；傷害發(fā)生的高峰時(shí)間7時(shí)至9時(shí)。不同性別主要在傷害發(fā)生部位有所不同；不同年齡主要在傷害發(fā)生原因、部位、傷害發(fā)生時(shí)活動(dòng)有所不同。結(jié)論：傷害防治的工作應(yīng)重點(diǎn)放在45歲以上年齡段由于運(yùn)動(dòng)不當(dāng)導(dǎo)致的扭傷/拉傷的預(yù)防上，在探索建立規(guī)范的社區(qū)衛(wèi)生服務(wù)中心及二、三級(jí)醫(yī)院傷害監(jiān)測(cè)系統(tǒng)的同時(shí)，還應(yīng)考慮未入院就診傷害人群的監(jiān)測(cè)。
　　關(guān)鍵詞 傷害；監(jiān)測(cè)；分析
　　中圖分類號(hào)：R197.1 文獻(xiàn)標(biāo)志碼：A 文章編號(hào)：1006-1533（2018）04-0041-04
　　Analysis of outpatient monitoring injury cases in a community in Shanghai from 2014 to 2016
　　WANG Linan， WANG Tong， NIE Lianlian
　�。╖hujing Community Health Service Center of Jinshan District， Shanghai 201599， China）
　　ABSTRACT Objective： To understand the epidemiological characteristics of outpatient surveillance injuries in Zhujing Community Health Service Center of Jinshan District， Shanghai， China from 2014 to 2016 to provide a basis for further improving the community injury detection system and developing measures of community injury prevention and control. Methods： Case reports of outpatient injury of Zhujing Community Health Service Center from 2014 to 2016 were collected， and were filled in the data reports with Shanghai unified reporting cards. Results： Totally 1 558 cases were collected and among them there were 871 male cases accounting for 55.90% and 687 female cases accounting for 44.10%. The age range of the cases was mainly in the age group over 45 years old， which accounted for 80.16% of the total cases. The main cause of injury was improper exercise（38.9%）. The nature of the injury was mainly sprains/muscles pulled（54.49%）. The injury occurred when they mainly did housework/study（69.13%）. The peak time of the injury was 07∶00-09∶00. Different sexes had mainly different parts of injury. Different ages had different reasons， parts and activities when the injury occurred. Conclusion： The work of injury prevention and control should focus on the prevention of sprain/strain caused by improper exercise in the age over 45 years old. The disabilities monitoring of people who do not go to hospital should also be taken into consideration while exploring the establishment of standardized community health service center and injury monitoring system of the second / third level hospitals.
　　KEY WORDS injury； monitoring； analysis
　　傷害是危害人類健康的公共衛(wèi)生問題之一，流行特征是常見、多發(fā)、隨時(shí)隨地的發(fā)生，其高發(fā)生率和高致殘率消耗了大量的衛(wèi)生資源，造成的經(jīng)濟(jì)損失和社會(huì)代價(jià)遠(yuǎn)遠(yuǎn)大于一些慢性非傳染性疾[1-2]。社區(qū)傷害干預(yù)研究是世界衛(wèi)生組織（WHO）支持的安全社區(qū)項(xiàng)目中一個(gè)中心工作，以社區(qū)為基礎(chǔ)開展傷害干預(yù)活動(dòng)，在預(yù)防和控制傷害方面起到了巨大的作用[3]。本文旨在通過分析2014-2016年上海市金山區(qū)朱涇社區(qū)衛(wèi)生服務(wù)中心門診傷害的監(jiān)測(cè)數(shù)據(jù)，了解社區(qū)居民傷害流行特征，為進(jìn)一步完善社區(qū)傷害監(jiān)測(cè)體系和制定本社區(qū)傷害預(yù)防控制措施提供依據(jù)。

相關(guān)熱詞搜索：病例 上海 門診 監(jiān)測(cè) 傷害