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目的了解河北省城乡居民伤害状况和危害程度,为制定有效的干预措施提供科学依据。方法资料来源于秦皇岛市、藁城市各3家不同级别伤害监测哨点医院急诊室。对2006-01-01/2009-12-31首次就诊于哨点医院的伤害患者资料进行分析。结果 2006-01-01/2009-12-31共收集81154例伤害病例,男女性别比为2.17∶1;前6位伤害病例的原因依次是机动车车祸(28.14%)、钝器伤(23.26%)、跌倒/坠落(22.25%)、刀/锐器伤(9.14%)、中毒(7.54%)和非机动车车祸(5.65%);中毒是农村老年女性的第1位伤害原因(36.84%),钝器伤是15~19岁年龄组最主要的伤害原因;溺水、窒息/悬吊、火器伤、烧烫伤和中毒造成的严重程度较重;伤害部位以头部为主;伤害发生时间有一定规律性;自残/自杀造成的伤害病例81.49%需观察或住院或转院。结论河北省2006-2009年居民伤害以机动车车祸、钝器伤、跌倒/坠落、刀/锐器伤和中毒为主,青壮年是高发人群,应加强伤害的预防控制工作。
Objective To understand the injury status and harm degree of urban and rural residents in Hebei Province and provide a scientific basis for formulating effective intervention measures. Methods The data were collected from three different levels of post-traumatic point-of-care emergency hospitals in Qinhuangdao and Taocheng. The data of injured patients who visited the sentinel hospital for the first time from January 2006 to January 2009 were analyzed. Results A total of 81 511 cases of injuries were collected from January 2006 to December 2009 with a male / female ratio of 2.17:1. The causes of the first 6 injuries were motor vehicle accident (28.14%), blunt injury (23.26% (22.25%), knife / sharp injury (9.14%), poisoning (7.54%) and non-motor vehicle accident (5.65%). Poisoning was the No. 1 cause of injury to aged rural women (36.84%), , Blunt trauma is the main cause of injury in the age group of 15 to 19 years; drowning, asphyxiation / suspension, firearm injuries, burns and poisoning caused serious degree of severity; damage to the head mainly; injury time Certain regularities; 81.49% of injury cases caused by self-mutilation / suicide need to be observed or hospitalized or transferred to hospital. Conclusion Residents’ injury in Hebei Province in 2006-2009 was mainly motor vehicle accident, blunt trauma, fall / fall, knife / sharp injury and poisoning. Young adults were the high risk population. Injury prevention and control should be strengthened.