| 邓晓,金叶,叶鹏鹏,高欣,汪媛,纪翠蓉,耳玉亮,王临虹,段蕾蕾.2009－2013年全国伤害监测系统中运动与休闲活动伤害病例分布特征分析[J].中华流行病学杂志,2015,36(4):354-359 |
| 2009－2013年全国伤害监测系统中运动与休闲活动伤害病例分布特征分析 |
| Analysis on sports and recreation related injuries through data from the Chinese National Injury Surveillance System, 2009-2013 |
| 收稿日期:2014-10-14 出版日期:2015-04-04 |
| DOI：10.3760/cma.j.issn.0254-6450.2015.04.013 |
| 中文关键词: 伤害 运动 休闲活动 监测 医院 |
| 英文关键词: Injury Sports Recreation Surveillance Hospital |
| 基金项目: |
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| 中文摘要: |
| 目的 了解我国运动与休闲活动伤害门/急诊病例的分布特征和变化趋势, 为制订相关预防措施提供依据。方法 利用2009－2013年全国伤害监测系统(NISS)数据, 分析运动与休闲活动伤害总体趋势、人口学、伤害事件和临床特征。结果 2009－2013年NISS中运动与休闲活动伤害每年均占45%以上, 占比呈逐年上升趋势(5年分别为46.21%、47.32%、48.14%、52.00%、53.65%)。运动与休闲活动伤害病例以男性为主, 15～29岁组居多, 高发于夏秋季节, 首位伤害发生地点为家中(5年分别为33.07%、34.16%、32.98%、34.57%、36.22%), 首位伤害发生原因为跌倒/坠落(5年分别为41.19%、41.64%、44.70%、47.41%、47.96%), 首位伤害性质为挫伤/擦伤(5年分别为43.49%、44.56%、45.14%、45.02%、45.62%), 重度伤害病例的前三位伤害性质依次为骨折、脑震荡/脑挫裂伤、锐器伤/咬伤/开放伤, 首位伤害部位为头部(5年分别为31.30%、32.48%、31.89%、30.88%、29.44%), 伤害严重程度以轻度居多, 绝大多数患者在接受治疗后回家。结论 我国运动与休闲活动伤害问题日趋严重, 应以儿童和老年人为优先和重点干预人群, 以预防运动中的跌倒/坠落、采取有效的头部保护措施为重点开展预防控制工作。 |
| 英文摘要: |
| Objective To understand the trend and characteristics of sports and recreation related injuries reported from National Injury Surveillance System(NISS) to provide basis for corresponding prevention strategies and decision-making. Methods Descriptive analysis was applied to display the overall trend, general information, injury event and clinical characteristics of sports and recreation related injuries from 2009 to 2013. Methods The proportion of sports and recreation related injuries among all injuries increased from 2009 to 2013, with an annual increase exceeding 45% (46.21%, 47.32%, 48.14%, 52.00%, 53.65%, respectively). Sports and recreation related injuries mainly involved males, with 15-29 age groups, particularly in summer and autumn. Sports and recreation related injuries mostly occurred at home, with annual rates of proportion as 33.07%, 34.16%, 32.98%, 34.57 and 36.22%, mostly caused by falls (41.19%, 41.64%, 44.70%, 47.41%, 47.96%). Contusion and abrasion were the leading types of injuries(43.49%, 44.56%, 45.14%, 45.02%, 45.62%) with the serious leading types as fracture, concussion/cerebral contusion or laceration, and sharp force injury/bite/open wounds. Head was the part mainly involved (31.30%, 32.48%, 31.89%, 30.88%, 29.44%) in injuries. Most sports and recreation related injuries were minor and most of the patients headed home after treatment. Conclusion Sports and recreation related injury appeared a growing public health problem in China. Children and the elderly should be the target groups for intervention. Falls prevention in sports and the use of protection gears should be the focus countermeasures for prevention. |
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