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2015—2021年江苏省交通伤害病例的流行病学特征分析

Analysis of epidemiological characteristics of traffic injury cases in sentinel hospitals in Jiangsu Province from 2015 to 2021

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【作者】 陈海钱云刘佳杜文聪周金意

【Author】 CHEN Hai;QIAN Yun;LIU Jia;DU Wen-cong;ZHOU Jin-yi;Wuxi Municipal Center for Disease Control and Prevention;

【通讯作者】 杜文聪;

【机构】 无锡市疾病预防控制中心江苏省疾病预防控制中心

【摘要】 目的 了解江苏省交通伤害病例流行病学特征,为采取有效防控措施提供依据。方法 从全国伤害监测系统中获取江苏省2015—2021年哨点医院上报交通伤害病例信息,分析其人群和时间分布、发生基本情况、临床信息等,采用Joinpoint软件计算年度变化百分比(APC)和平均年度变化百分比(AAPC)及95%CI,估计伤害发生变化趋势。结果 2015—2021年,江苏省监测哨点共报告交通伤害病例126 054例,各年发生数整体呈上升趋势(AAPC=5.86%,95%CI,0.24%~11.79%,t=2.69,P=0.04)。其中,非机动车车祸73 585例(占58.38%),各年发生数呈上升趋势(AAPC=10.46%,95%CI:2.76%~18.74%,t=3.54,P=0.02),拐点出现在2019年;机动车车祸52 469例(占41.62%),各年发生数变化趋势不显著(AAPC=0.75%,95%CI:-2.29%~3.88%,t=0.48,P=0.63),拐点出现在2017年。病例以男性(55.70%)、35~59岁(49.30%)、初中学历(28.02%)、专业技术/办事人员(24.83%)较多。2月(4.83%)发生数最少,8月(占10.19%)最多,不同月份非机动车车祸发生数均高于机动车。发生主要地点为公路/街道(96.74%),主要活动为驾乘交通工具(60.01%)。伤害主要为挫伤/擦伤(66.74%),部位主要是下肢(30.48%)。大部分病例处理后离院(85.20%),仍有12.63%需住院治疗。结论 江苏省交通伤害发生数较高,特别是非机动车车祸,应采取针对性综合干预措施。

【Abstract】 Objective To understand the epidemiological characteristics of traffic injury cases reported by sentinel hospitals in Jiangsu Province, so as to provide a basis for taking effective prevention and control measures. Methods Information on traffic injury cases reported by sentinel hospitals in Jiangsu Province from 2015 to 2021 was obtained from the national injury monitoring system, and their population, time distribution, basic information of occurrence, clinical information, etc.were analyzed.Joinpoint software was used to calculate the annual percentage change(APC),average annual percentage change(AAPC) and 95%CI to estimate the trend of injury occurrence. Results From 2015 to 2021,a total of 126 054 cases of traffic injuries were reported at monitoring outposts in Jiangsu Province, with an overall upward trend in the number of occurrences in each year(AAPC=5.86%,95%CI:0.24%-11.79%,t=2.69,P=0.04).Among them, there were 73 585 non-motorized vehicle accidents(accounting for 58.38%),and the number of occurrences showed an upward trend in each year(AAPC=10.46%,95%CI:2.76%-18.74%,t=3.54,P=0.02),with the turning point occurring in 2019.There were 52 469 cases of motor vehicle accidents(accounting for 41.62%),and the trend of occurrence in each year was not significant(AAPC=0.75%,95%CI:-2.29% to 3.88%,t=0.48,P=0.63),with the turning point occurring in 2017.The majority of cases were male(55.70%),aged 35-59(49.30%),with a junior high school education background(28.02%),and were professional and technical personnel or office staff(24.83%).Traffic injury cases occurred every month, with the lowest occurrence in February(4.83%) and the highest occurrence in August(10.19%).The number of non-motorized vehicle accidents was higher than that of motor vehicleaccidents in different months.The main location of occurrence was on highways/streets(96.74%),and the main activity was driving and taking vehicles(60.01%).The main injuries were contusions/bruises(66.74%),and the main partwas the lower limbs(30.48%).Most cases were discharged after treatment(85.20%),and still 12.63% of cases needed hospitalization. Conclusions The number of traffic injuries, especially non-motorized vehicle accidents, in Jiangsu Province is relatively high, so targeted comprehensive intervention measures should be taken.

【基金】 无锡市青年科技人才托举行动(TJXD-2024-219)
  • 【文献出处】 江苏预防医学 ,Jiangsu Journal of Preventive Medicine , 编辑部邮箱 ,2025年03期
  • 【分类号】R181.3
  • 【下载频次】14
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