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目的了解上海市嘉定区社区卫生服务中心门/急诊伤害发生状况,为伤害干预提供参考依据。方法以上海市嘉定区13家社区卫生服务中心作为伤害监测点医院,对2008年10月1日至2009年9月30日到医院门诊就诊并被诊断为伤害的首诊患者作为研究对象。结果共报告伤害病例17 391例,男女性别比为2.27∶1;伤害病例以15~39岁年龄组最多(50.55%);本区户籍占44.67%,外地户籍占55.33%;7月发生的伤害人数最多(12.12%),发生时间多在08:11-16:37;以非故意伤害和轻度伤害为主;前5位伤害发生原因是物体/器具的机械性作用(66.28%)、跌倒/坠落(22.07%)、非机动车交通事故(6.47%)、机动车交通事故(1.86%)、烫伤(1.59%)。结论物体/器具的机械性作用、跌倒/坠落、交通事故为优先防治的伤害种类,应重视外来人口的伤害干预。
Objective To understand the incidence of door / emergency injury in community health service center in Jiading District, Shanghai, and provide a reference for injury intervention. Methods Thirteen community health service centers in Jiading District of Shanghai were taken as the injury monitoring hospital. The first visit patients who came to the outpatient clinic from October 1, 2008 to September 30, 2009 and who were diagnosed as having been injured were taken as research objects. Results A total of 17 391 cases of injuries were reported, with a male-to-female ratio of 2.27:1. Injuries were most frequent in the age group of 15-39 years (50.55%), with 44.67% of the registered permanent residents and 55.33% of the permanent residents registered in the area. Injuries in July The largest number (12.12%) occurred more often from 08: 11-16: 37, mainly by unintentional injury and mild injury. The first 5 injuries were caused by the mechanical effect of the object / appliance (66.28%) and the fall / Crash (22.07%), non-motor vehicle accident (6.47%), motor vehicle accident (1.86%) and scald (1.59%). Conclusions The mechanical effects of objects / apparatus, fall / fall, and traffic accidents are the priority types of injury prevention and control. Injury interventions by migrants should be emphasized.