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[基于中国国家伤害监测系统2008 - 2013年数据对跌倒特征的分析]

[Analysis on data from Chinese National Injury Surveillance System, 2008-2013 on the characteristics of falls].

作者信息

Er Yuliang, Duan Leilei, Wang Yuan, Ji Cuirong, Gao Xin, Deng Xiao, Ye Pengpeng, Jin Ye, Wang Linhong

机构信息

National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.

National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China. Email:

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2015 Jan;36(1):12-6.

Abstract

OBJECTIVE

To analyze the trend and distribution of Falls, using the data from National Injury Surveillance System (NISS), 2008-2013, to provide basic information for Fall prevention.

METHODS

Data of Falls was descriptively analyzed from the Chinese NISS from 2008 to 2013.

RESULTS

In total, 1 223 905 cases of Falls were analyzed, that accounted for 32.94% of all the injury cases, with the gender ratio as 1.57. Both the number and the proportion of the cases showed an increasing trend. Labor population (15-64 years-old) accounted for 66.63% of the total 271 502 cases of Falls in 2013. Cases aged 0-4, 5-14 and over 65 accounted for 55.53%, 52.93% and 56.59% among all the types of injuries in each of their age group. Gender ratio appeared to be 1.54 but more females cases were seen with the increase of age. The peak hours that injuries took place were 10:00-10:59 AM (10.04% of total) and 14:00-20:59 PM (43.56% of total). The top three places that injuries took place were home (33.03%), public residents (22.79%) and on the roads (15.49%). Recreation activates (65.38%), paid jobs (13.01%) and housework (7.52%) were the three major ways causing the Falls to take place. The most common parts of body that injuries involved were head (30.41%), low limbs (27.43%) and upper limbs (21.93%), with bruise (54.60%), sprain/strain (16.87%), fractures (15.48%) most commonly seen. 77.76% of the cases were minor but the proportion of moderate and serious injuries increased along with the increase of age.

CONCLUSION

Fall was the main type of injury in this country, showing an increasing trend of proportion among all the types of injuries. Though labor-related Falls accounted for the biggest proportion, prevention programs targeting the elderly and children should also be prioritized.

摘要

目的

利用2008 - 2013年国家伤害监测系统(NISS)的数据,分析跌倒的趋势和分布情况,为预防跌倒提供基础信息。

方法

对2008年至2013年中国国家伤害监测系统中跌倒的数据进行描述性分析。

结果

共分析了1223905例跌倒病例,占所有伤害病例的32.94%,男女比例为1.57。病例数量和比例均呈上升趋势。2013年,劳动人口(15 - 64岁)占跌倒病例总数271502例的66.63%。0 - 4岁、5 - 14岁和65岁以上年龄组的跌倒病例在各年龄组所有伤害类型中分别占55.53%、52.93%和56.59%。男女比例为1.54,但随着年龄增长女性病例增多。受伤发生的高峰时段为上午10:00 - 10:59(占总数的10.04%)和下午14:00 - 20:59(占总数的43.56%)。受伤发生的前三位地点是家中(33.03%)、公共场所(22.79%)和道路上(15.49%)。娱乐活动(65.38%)、有偿工作(13.01%)和家务劳动(7.52%)是导致跌倒发生的三大主要原因。受伤涉及的最常见身体部位是头部(30.41%)、下肢(27.43%)和上肢(21.93%),最常见的损伤类型是擦伤(54.60%)、扭伤/拉伤(16.87%)、骨折(15.48%)。77.76%的病例为轻伤,但中重度损伤的比例随着年龄增长而增加。

结论

跌倒是该国主要的伤害类型,在所有伤害类型中的比例呈上升趋势。虽然与劳动相关的跌倒占比最大,但针对老年人和儿童的预防项目也应优先考虑。

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