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目的了解肥西县60岁及以上老年人跌倒/坠落的伤害发生情况,探讨老年人跌倒/坠落分布特点,为制定老年跌倒/坠落伤害干预措施和政策提供科学依据。方法利用全国伤害监测系统(NISS),收集肥西县2012~2015年三个监测点的伤害监测数据,分析60岁及以上人群的跌倒/坠落病例变化趋势。结果 2012~2015年肥西县60岁及以上老年人群伤害病例总数为9 356例,而老年人的跌倒/坠落病例为5 264例,占比56.3%。它是老年人伤害发生的首要原因,且病例数、占伤害病例的比例和占老年伤害病例的比例均呈逐年上升趋势。男女性别比为0.8∶1,随着年龄的增加,女性的构成比呈上升趋势。发生地点前三位分别为家中(60.0%)、公路/街道(11.0%)和公共居住场所(社区)(10.0%)。中、重度构成比分别是全人群相应中、重度构成比的1.7倍和2.1倍(χ~2=591.3,P<0.01)和2.1倍(χ~2=87.1,P<0.01)。结论老年人跌倒/坠落伤害问题已是一项重要的公共卫生问题,应根据老年人跌倒/坠落病例的特征分布开展针对性防控措施,尤其要加强老年人跌倒/坠落伤害的家庭预防和老年人跌倒/坠落伤害社区预防工作。
Objective To understand the incidence of falling / falling injuries in people aged 60 years old and over in Feixi County, and to explore the distribution characteristics of falling / falling among the elderly and to provide a scientific basis for formulating the interventions and policies for falling / falling injuries in the elderly. Methods The National Injury Surveillance System (NISS) was used to collect the monitoring data of injuries from three monitoring points in Feixi from 2012 to 2015, and to analyze the trend of falling / falling cases in people aged 60 and above. Results The total number of injuries among the elderly aged 60 years and above in Feixi from 2012 to 2015 was 9 356, while the number of falls / falls in the elderly was 5 264 (56.3%). It is the primary cause of injury to the elderly, and the number of cases, the proportion of injuries and the proportion of cases of elderly injuries are increasing year by year. The ratio of men to women is 0.8: 1, with the increase of age, the proportion of women is on the rise. The top three places were home (60.0%), road / street (11.0%) and public place of residence (community) (10.0%) respectively. Medium and severe constitutional ratio were 1.7 times and 2.1 times (χ ~ 2 = 591.3, P <0.01) and 2.1 times (χ ~ 2 = 87.1, P <0.01) respectively. Conclusions The problem of fall / fall injuries among the elderly is an important public health issue. Targeted prevention and control measures should be based on the distribution of the characteristics of the elderly in falling / falling cases. In particular, we should strengthen family prevention of elderly people who fall or fall from injury and elderly People falling / falling hurt community prevention work.