摘要
目的探讨2016—2017年广东省广州市≥60岁老年人跌倒/坠落伤害监测病例分布特征,为制定有效的防制措施提供参考依据。方法收集2016—2017年广州市5所伤害监测哨点医院的首诊伤害患者报告卡信息,分析≥60岁老年跌倒/坠落伤害监测病例的分布特征。结果 5所伤害监测哨点医院共报告≥60岁老年跌倒/坠落患者4 361例,占总数的49.5%,位居第1顺位。男女性别比为0.60∶1。跌倒/坠落伤害多发生在家中,常见于休闲或生命活动过程;多为轻中度伤害,经治疗后离开医院;3、7和11月跌倒/坠落患者比例略高。随年龄组别的增加,跌倒/坠落患者的构成比逐渐增加,差异有统计学意义(χ2=1 220.807,P<0.001);按性别、年龄分层分析发现,随年龄组别增加,伤害性质为骨折、伤害程度为中度伤害、伤害结局为留观/住院/转院的构成比例均增加。文化程度较低者发生跌倒/坠落的构成比较高(χ2=85.667,P<0.001),伤害性质主要为挫伤/擦伤或骨折(χ2=3 095.215,P<0.001),主要伤及头部或下肢(χ2=1 273.623,P<0.001)。结论跌倒/坠落是广州市老年人伤害发生的首要原因,应针对性地实施干预和制定相应的防制措施。
Objective To understand the distribution characteristics of injury caused by fall in the elderly aged ≥60 years in Guangzhou,Guangdong province,during 2016-2017 and provide evidence for effective injury prevention and control in the elderly.Methods The data of injury cases seeking medical care for the first time were collected in 5 injury surveillance hospitals in Guangzhou from 2016 to 2017 for the analysis on the distribution characteristics of fall caused injury in the elderly aged ≥60 years.Results During 2016-2017,a total of 4 361 injury cases caused by fall in the elderly aged ≥60 years were reported by the 5 injury surveillance hospitals,accounting for 49.5% of the total injury cases in this group.Fall was the first leading cause of injury in this group.The men to women ratio of the injury cases was 0.60∶1.Injuries mainly occurred at home during leisure time.Most cases had mild and moderate injuries and left hospitals after treatment.The proportion of the injury caused by fall was slightly higher in March,July and November.With the increase of age,the proportion of fall caused injury cases increased gradually in older age group,the difference was significant(χ~2=1 220.807,P<0.001).According to the gender and age group stratification,with the increase of age,the proportions of fracture cases,cases needing observation/hospitalization/referral and moderate injury cases increased.The people with lower degree of education had higher proportion of fall caused injuries(χ^2=85.667,P<0.001).The injuries were mainly contusion/scratch or fracture(χ^2=3 095.215,P<0.001) and the injury sites were mainly head or lower limb(χ^2=1 273.623,P<0.001).Conclusion Fall is the major injury cause in the elderly in Guangzhou.It is necessary to take targeted prevention and intervention measures to reduce falls in the elderly.
作者
林伟权
黄婷苑
秦发举
杨韵鸥
沈纪川
Lin Weiquan;Huang Tingyuan;Qin Faju;Yang Yunou;Shen Jichuan(Department of Primary Public Health,Guangzhou Municipal Center for Disease Control and Prevention,Guangzhou 510440,Guangdong,China)
出处
《疾病监测》
CAS
2018年第12期1037-1041,共5页
Disease Surveillance
基金
广州市科技计划(No.201707010204
201804010191)~~
