【摘要】 目的 了解浙江省常山县农村居民伤害发生状况及其分布特征，为制定伤害预防控制措施提供依据。方法 采用多阶段整群随机抽样的方法，随机抽取常山县3个乡镇6个行政村，共计1 200户家庭，采用统一自制的调查问卷入户，对过去1年中伤害发生情况进行回顾性调查。应用SPSS 26.0软件进行χ²检验、χ²_趋势检验、t检验和秩和检验。结果 2022年6月1日—2023年5月31日，浙江省常山县农村居民伤害发生率为8.31%,标化伤害发生率为5.80%。伤害发生率前5位分别是跌伤（2.66%）、交通伤（2.13%）、动物伤（1.53%）、钝器伤（0.46%）和烧烫伤（0.43%）。男性交通伤发生率最高（2.51%）,女性跌伤发生率最高（3.40%）。女性跌伤发生率高于男性（χ²=5.709,P=0.017）,男性钝器伤发生率高于女性（χ²=5.926,P=0.015）。伤害发生率随年龄的增长呈上升趋势(χ²_趋势=70.530,P<0.001),60～岁年龄组伤害发生率最高（11.43%）。因伤害所致休息天数、活动受限天数和医疗费用中位数分别为7 d、5 d和600元。结论 浙江省常山县农村居民伤害发生率较高，伤害所致的疾病负担较重，应制定针对性干预措施，减少伤害的发生。更多还原

【Abstract】 Objective To understand the occurrence and distribution characteristics of injuries among rural residents in Changshan county,Zhejiang province,and to provide a basis for formulating injury prevention and control measures.Methods A multi-stage cluster random sampling method was employed to recruit 1,200 households from 6 administrative villages across 3townships in Changshan county.A unified self-designed questionnaire was used for household surveys,and then the incidence of injuries over the past year was retrospectively investigated.SP SS 26.0 software was utilized to performχ²test，χ²_trendtest,t test and Wilcoxon rank-sum test.Results From June 1,2022 to May 31,2023,the incidence rate of injuries among the rural residents in Changshan county,Zhejiang province was 8.31%,with the age-standardized incidence rate of injuries being 5.80%.The top five injuries based on the incidence rates were falls （2.66%）,traffic-related injuries （2.13%）,animal bite-related injuries （1.53%）,blunt force trauma （0.46%） and burns/scalds （0.43%）.Males exhibited the highest incidence rate of traffic injuries （2.51%）,while females had the highest incidence rate of falls （3.40%）.The incidence rate of falls was higher in females than in males （χ²=5.709,P=0.017）,whereas the incidence rate of blunt instrument injuries was higher in males than in females （χ²=5.926,P=0.015）.A progressive age-associated increase in the incidence rates of injuries was identified (χ²_trend=70.530,P<0.001),peaking in the group aged 60-years （11.43%）.Median health impacts included 7 days of absence from work,5 days of restricted activity,and direct medical costs of 600 yuan per injury event.Conclusions Rural residents in Changshan county,Zhejiang province experience substantial injury-related morbidity and socioeconomic burden,thus necessitating targeted interventions to be developed to reduce the occurrence of injuries.更多还原