摘要
目的探讨吉林市机械创伤患者流行病学特征。方法选取2015年1月至2018年6月本院收治的机械创伤患者2452例,采用问卷调查方式收集患者的性别、年龄、婚姻状况、受教育程度、健康状况、机械操作熟练程度、防护措施、受伤前因素、机械操作前饮酒情况;记录患者的创伤部位、类型、发生时间。结果 2 452例机械创伤患者中男性1 595例(65.05%),女性857例(34.95%); 18～24岁392例、25～34岁941例、35～44岁526例、45～55岁408例、>55岁185例,不同年龄段机械创伤构成之间差异均有统计学意义(均P<0.01),其中25～34岁机械创伤发生构成最高。创伤发生部位以下肢、头部、上肢、皮肤为主;创伤类型以挫裂伤、骨折为主;创伤发生时间以9∶00∶-11∶00、12∶00-16∶00为1 d中的两个高峰期,1年中第3季度和第4季度创伤发生构成最高。Logistic回归分析显示,性别、年龄、婚姻状况、受教育程度、机械操作熟练程度、防护措施、机械操作前饮酒是机械创伤的独立影响因素(P<0.05)。结论中青年男性是吉林市机械创伤的主要人群,应加强对创伤高发部分、类型及时间段的防护;同时加强对机械操作熟练程度、防护措施等影响因素的针对性干预。
Objective To investigate the epidemiological characteristics of mechanical trauma patients in Jilin area.Methods 2 452 patients with mechanical trauma admitted to our hospital from January 2015 to June 2018 were selected. Gender,age,marital status,education level,health status,proficiency in mechanical operation,protective measures,pre-injury factors and drinking before mechanical operation were collected by questionnaire. The location,type and occurrence time of trauma were recorded. Results There were 1 595 males( 65.05%) and 857 females( 34.95%) in 2 452 patients with mechanical trauma,392 males( 25-24 years old),941 females( 25-34 years old),526 females( 35-44 years old),408 females( 45-55 years old) and 185 females( over 55 years old). There were significant differences in the incidence of mechanical trauma among different age groups( P< 0.01),among which 25-34 years old had the highest incidence. Trauma occured mainly in lower limbs,head,upper limbs and skin;contusion and fracture were the main types of trauma;the time of trauma occurs at 9-11 o’clock and 12-16 o’clock were the two peak periods in a day,and the incidence of trauma was the highest in the third and fourth quarter of a year. Logistic regression analysis showed that gender,age,marital status,education level,proficiency in mechanical operation,protective measures and drinking before mechanical operation were independent influencing factors of mechanical trauma. Conclusion Young and middle-aged males are the main population of mechanical trauma in Jilin area. Occupational protection should be strengthened for the high-incidence part,type and time period of trauma,and targeted intervention should be strengthened for the influencing factors such as proficiency of mechanical operation and protective measures.
作者
徐守成
王金昌
胡志红
王天斌
冯星明
葛晓峰
XU Shou-cheng;WANG Jin-chang;HU Zhi-hong;WANG Tian-bin;FENG Xing-ming;GE Xiao-feng(Jilin People's Hospital,Jilin Jilin 132000,China)
出处
《中国卫生工程学》
CAS
2019年第1期10-12,共3页
Chinese Journal of Public Health Engineering
基金
吉林省卫计委科研项目(2016G004)
关键词
机械创伤
流行病学
吉林地区
Mechanical trauma
Epidemiology
Jilin area
