摘要
目的剖析甘孜藏区人群意外伤害现状,明确主因及危险因素,基于危机管理与系统管理理论制定防控策略,以降低发生率与致残率。方法收集2018—2024年78166例门诊及2021—2024年15015例住院患者数据,分析分布特征与受伤原因。结果汉族发生率高于藏族,男性高于女性,成年高于未成年;60岁以上汉族老人2024年发生率近9%,藏族劳动年龄人口2021年骤升。南部、东部县域发生率显著高于其他区域,农村高于城镇。摔倒占比49.64%居首,劳动损伤、高处坠落、交通事故次之,不同年龄段受伤原因与部位存在差异。结论意外伤害与民族、年龄、性别、地域分布密切相关,摔倒、高坠、劳动损伤、车祸为四大主因,建议基于危机管理理论构建全周期应急响应机制,并通过系统管理理论整合医疗、交通、社区等多维度资源,加强骨科亚专业建设及针对性防治。
Objective To analyze the current situation of accidental injuries among the population in Garze Tibetan area,clarify the main causes and risk factors,and develop prevention and control strategies based on crisis management and system management theory to reduce the incidence and disability rate.Methods Collect data from 78166 outpatient patients from 2018 to 2024 and 15015 hospitalized patients from 2021 to 2024,and analyze the distribution characteristics and causes of injuries.Results The incidence rate of Han ethnicity is higher than that of Tibetan ethnicity,higher in males than females,and higher in adults than minors;The incidence rate of elderly Han people aged 60 and above is expected to reach nearly 9%in 2024,while the working age population of Tibetan people is expected to sharply increase in 2021.The incidence rate in southern and eastern counties is significantly higher than in other regions,and higher in rural areas than in urban areas.Falls account for 49.64%of the total,followed by labor injuries,falls from heights,and traffic accidents.There are differences in the causes and locations of injuries among different age groups.Conclusion Accidental injuries are closely related to ethnicity,age,gender,and regional distribution.Falls,falls,labor injuries,and car accidents are the four main causes.It is recommended to construct a full cycle emergency response mechanism based on crisis management theory,and integrate multidimensional resources such as medical,transportation,and community through system management theory to strengthen the construction of orthopedic sub specialties and targeted prevention and treatment.
作者
刘杨屹
陈若雷
陈若晨
LIU Yangyi;CHEN Ruolei;CHEN Ruochen(Tianquan County Traditional Chinese Medicine Hospital,Ya’an Orthopedic Hospital,Ya’an 625500,China)
出处
《现代医院》
2025年第9期1438-1442,共5页
Modern Hospitals
基金
四川省中医药管理局中医药研究专项课题(2023MS343)。
关键词
伤害
流行病学
藏区
危机管理理论
系统管理理论
对策
Harm
Epidemiology
Tibetan region
Crisis management theory
System management theory
Countermeasure
