珠海市斗门区2012-2015年医院门急诊产品伤害监测结果分析

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目的了解珠海市斗门区产品伤害流行特征,为制定产品伤害干预措施提供依据。方法以珠海市斗门区遵义医学院第五附属(珠海)医院作为哨点监测医院,收集2012―2015年在医院就诊、被诊断为产品伤害的首诊病例信息,监测内容包括伤害患者一般信息(姓名、性别、年龄、户籍、文化程度、职业等)、伤害事件基本情况(伤害发生的时间、地点、原因、发生时活动等)、伤害涉及产品信息等。结果 2012―2015年哨点医院共报告伤害病例48 003例,其中与产品相关的伤害病例19 342例,占伤害病例总数的40.3%。男性13 743例,女性5 599例,男女性别比为2.45∶1;产品伤害病例年龄以15~44岁青壮年组占比例最高(占71.2%),文化程度以初中文化程度者占比例最高(占45.9%),职业以商业服务(占21.9%)和生产运输人员(占19.0%)占比例最高,户籍以本市(县)户籍占比例最高(占49.3%),差异均有统计学意义(均P<0.01)。发生伤害例数居前3位的产品依次为交通运输工具(占66.0%)、家庭用品(占12.8%)、食品药品及其相关产品(占7.0%)。伤害发生原因居前3位的依次为道路交通伤害、刀/锐器伤、中毒,分别占64.6%、14.7%、8.8%。伤害发生地点主要集中在公路/街道、家中、公共居住场所,分别占66.3%、9.8%、8.4%。伤害发生时的活动主要为驾乘交通工具(占54.5%)、休闲活动(占31.9%)。结论珠海市斗门区产品伤害特征主要表现为发生在公路/街道上、以驾乘交通工具为主的交通伤害,本地户籍、男性、15~44岁青壮年、初中文化程度、商业服务和生产运输人员是产品伤害的主要受影响人群,应针对上述特征加强以交通工具为主的产品伤害预防控制。 Objective To understand the epidemic characteristics of product injury in Doumen District of Zhuhai and provide the basis for formulating product injury intervention measures. Methods The fifth affiliated (Zhuhai) Hospital of Doumen District of Zhuhai Municipality was selected as the sentinel surveillance hospital to collect the first case information of the patients who were diagnosed as product injury in the hospital from 2012 to 2015. The monitoring contents include the general information of the injured patients Name, gender, age, household registration, educational level, occupation, etc.), the basic situation of the injury (time, place, cause of injury, activity at the time of occurrence, etc.), injury related to product information and the like. Results In 2012-2015, sentinel hospitals reported a total of 48 003 cases of injuries, of which 19 342 were product-related injuries, accounting for 40.3% of the total cases. There were 13,743 males and 5,599 females with a sex ratio of 2.45: 1. The product injury cases accounted for the highest proportion (71.2%) among young adults aged 15-44, with the highest proportion of students having junior high school education Accounting for 45.9% of the total), occupations accounted for the highest proportion of commercial service (21.9%) and production and transport personnel (19.0%), and the highest proportion of permanent residence (49.3%) was registered in the city, with significant differences (All P <0.01). Among the top three cases of injuries, the vehicles were transportation (66.0%), household products (12.8%), food and medicine and related products (7.0%). The top three causes of injuries were road traffic injuries, knife / sharp weapon injuries and poisoning, accounting for 64.6%, 14.7% and 8.8% respectively. The injuries occurred mainly in roads, streets, homes and public residences, accounting for 66.3%, 9.8% and 8.4% respectively. Injuries occurred mainly when driving (54.5%) and leisure activities (31.9%). Conclusion Doumen District, Zhuhai District, product injury characteristics mainly in the road / street, traffic-based injuries, local household registration, men, young adults aged 15 to 44, junior high school education, business services and production and transportation Personnel are the main affected people in the product injury. The prevention and control of vehicle-based product injuries should be strengthened according to the above characteristics.
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