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[目的]了解道路交通伤害的发生情况、分布特点和疾病负担,为开展道路交通伤害防制工作提供依据。[方法]选择1所二级综合性医院急诊室,对首次就诊被诊断为交通伤害的病例纳入监测对象,统一登记报告;由社区医生上门追踪,进行预后情况和疾病负担的调查。[结果]2007～2008年监测报告的道路交通伤害分别为4989例,其中本市2266例、非本市户籍2723例。各月份间无明显差异;早晨上班高峰时间段7:00～9:00高发;20～40岁年龄段所占比例最大;多为轻度损伤,头面部是最易受到伤害的部位。平均每例病例的直接、间接、无形经济负担分别为0.93万、0.82万、0.47万。此外,道路交通伤害对家庭日常生活、家庭经济均造成了显著的负担,影响度分别为66.94%、43.54%。[结论]急诊室道路交通伤害监测系统是一种有价值的信息系统;交通伤害造成了沉重的经济负担和家庭负担,亟需采取有效的预防控制措施。
[Objective] To understand the occurrence, distribution characteristics and disease burden of road traffic injuries and provide the basis for prevention and control of road traffic injuries. [Methods] A total of 1 emergency room in a second-grade general hospital was selected, and the cases of first-time diagnosis of traffic injuries were included in the monitoring object, and the registration reports were unified; home visits by community doctors were conducted to investigate the prognosis and burden of disease. [Results] The number of road traffic injuries in the monitoring reports from 2007 to 2008 were 4989 cases, of which 2266 were in the city and 2723 were non-city residents. No significant difference between the months; morning peak hours 7: 00 ~ 9: 00 high incidence; 20 to 40 years of age accounted for the largest proportion; mostly mild injury, head and face is the most vulnerable parts. The direct, indirect and intangible economic burdens of each case were respectively 0.93, 0.82 and 0.47 million respectively. In addition, road traffic injuries caused a significant burden on family daily life and family economy, with impact rates of 66.94% and 43.54% respectively. [Conclusion] The emergency room road traffic injury monitoring system is a valuable information system. Traffic injuries have caused heavy economic burden and family burden, and effective prevention and control measures are urgently needed.