Haasper C, Otte D, Probst C, Müller C W, Panzica M, Frink M, Hesse E, Stübig T, Richter M, Hüfner T, Krettek C
Unfallchirurgische Klinik, Medizinische Hochschule Hannover.
Z Orthop Unfall. 2008 Nov-Dec;146(6):747-53. doi: 10.1055/s-2008-1038977. Epub 2008 Dec 12.
Novice drivers are at high risk for crash involvement. We performed an analysis of causations, injury patterns and distributions of novice drivers in cars and on motorcycles in road traffic as a basis for proper measurements.
Data of accident and hospital records of novice drivers (licence < 2 years) were analysed focusing on the following parameters: injury type, localisation and mechanism, abbreviated injury scale (AIS), maximum AIS (MAIS), delta-v, collision speed and other technical parameters and compared with those of experienced drivers.
In 18 352 accidents in the area of Hannover (years 1985-2004), 2602 novice drivers and 18 214 experienced drivers were recorded as having an accident. Novice car drivers were more often and more severely injured whereas on motorcycles the experienced drivers were at higher risk. Novice drivers of both groups sustained more often extremity injuries. 4.5 % of the novice car drivers were not restrained by seatbelts as compared to 3.7 % of the experienced drivers and 6.1 % of the novice motorcycle drivers did not wear a proper helmet (versus 6.5 %). Severe injuries were sustained in 20 % at collision speeds below 30 km/h and in 80 % at collision speeds above 50 km/h. Novice car drivers drove significantly older cars. The risk profile of novice drivers is similar to that of drivers older than 65.
Structural protection and special lectures like skidding courses could be proper measurements next to harder punishment of violations.
新手驾驶员发生碰撞事故的风险很高。我们对道路交通中汽车和摩托车新手驾驶员的事故原因、损伤模式及分布进行了分析,作为采取适当措施的依据。
分析新手驾驶员(驾照年限<2年)的事故及医院记录数据,重点关注以下参数:损伤类型、部位及机制、简略损伤量表(AIS)、最大AIS(MAIS)、速度变化量、碰撞速度及其他技术参数,并与经验丰富的驾驶员进行比较。
在汉诺威地区1985 - 2004年的18352起事故中,记录到2602名新手驾驶员和18214名经验丰富的驾驶员发生事故。新手汽车驾驶员受伤更为频繁且伤势更严重,而骑摩托车时经验丰富的驾驶员风险更高。两组新手驾驶员四肢受伤更为常见。4.5%的新手汽车驾驶员未系安全带,经验丰富的驾驶员这一比例为3.7%,6.1%的新手摩托车驾驶员未正确佩戴头盔(经验丰富的驾驶员为6.5%)。碰撞速度低于30公里/小时时,20%的驾驶员受重伤;碰撞速度高于50公里/小时时,80%的驾驶员受重伤。新手汽车驾驶员驾驶的车辆明显更旧。新手驾驶员的风险特征与65岁以上驾驶员相似。
除了对违规行为加重处罚外,结构保护和防滑课程等专项讲座可能是适当的措施。