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中国杭州城市道路交通伤害的风险因素。

Risk factors for urban road traffic injuries in Hangzhou, China.

作者信息

Zhao Xiao-gang, He Xiao-di, Wu Jun-song, Zhao Guang-feng, Ma Yue-feng, Zhang Mao, Gan Jian-xin, Xu Shao-wen, Jiang Guan-yu

机构信息

Department of Emergency Medicine, Second Affiliated Hospital Medical School of Zhejiang University, 310009 Hangzhou, China.

出版信息

Arch Orthop Trauma Surg. 2009 Apr;129(4):507-13. doi: 10.1007/s00402-009-0827-7. Epub 2009 Feb 17.

Abstract

OBJECTIVE

To investigate factors that most influence urban road traffic injuries (RTI) mortality and morbidity.

METHODS

The study used linked police and hospital records of RTI patients in the city of Hangzhou during the 3-year period 2004-2006. Three RTI outcome groups were included: (1) fatally injured; (2) severely injured; and (3) mildly injured persons.

RESULTS

High risks for fatal road traffic accidents (RTA) were found on urban links, over weekend, during night hours, in male drivers who drove old vehicles without using seat belts, and at exceeding speeds, or with night time accidents and bad weather condition. In case of higher risk for all urban road users on urban junctions, the numbers on mildly injury cases were increasing. The highest combined risk for dying or being severely injured was found in male drivers driving at excessive speed, on urban links, and with night time accidents.

CONCLUSIONS

Intensifying safety education of motor vehicle drivers, enhancing traffic management and keeping balance of "person-vehicle-road" system will greatly reduce the urban traffic accidents and casualties.

摘要

目的

调查对城市道路交通伤害(RTI)死亡率和发病率影响最大的因素。

方法

该研究使用了2004 - 2006年3年间杭州市道路交通伤害患者的警方与医院关联记录。包括三个道路交通伤害结果组:(1)致命伤;(2)重伤;(3)轻伤者。

结果

在城市道路、周末、夜间、驾驶旧车辆且未系安全带的男性驾驶员、超速行驶、发生夜间事故以及天气条件恶劣的情况下,发生致命道路交通事故(RTA)的风险较高。在城市路口,所有城市道路使用者面临更高风险,轻伤病例数量在增加。在城市道路、夜间发生事故且超速行驶的男性驾驶员中,发现死亡或重伤的综合风险最高。

结论

加强机动车驾驶员安全教育、加强交通管理以及保持“人 - 车 - 路”系统平衡将大大减少城市交通事故及伤亡。

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