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目的了解上海市杨浦区老年人群伤害发生的现状,评价其社会经济损失,为进一步开展预防提供依据。方法采用多阶段整群随机抽样的方法,对5个街道60个居委的12775名老年人口进行伤害状况的回顾性调查。结果伤害的发生率为12.16%,标化发生率为12.07%,女性高于男性,位居前5位的伤害依次是跌倒、割/刺伤、扭伤、交通伤、碰撞/挤压伤。60～69岁以跌倒、扭伤、割/刺伤、交通伤为主;70～79岁以跌倒、割/刺伤、交通伤为主;80岁～及以上以跌倒、扭伤、交通伤为主;致残率0.71%,残疾率86.92/10万,平均每例伤害病例直接经济损失3530元,人均住院4.7d、因伤休息32.3d、需他人看护19.9d。结论伤害在杨浦区老年人中高发、多见,经济损失较大,危害严重,需要大力预防与控制。
Objective To understand the current situation of the elderly population injury in Yangpu District of Shanghai and to evaluate its social and economic losses and provide the basis for further prevention. Methods A multi-stage cluster random sampling method was used to conduct a retrospective survey on the injury status of 12775 elderly population in 60 neighborhood committees in 5 streets. Results The incidence of injury was 12.16%. The incidence rate of standardization was 12.07%. Women were higher than men. The top five injuries were fall, cut / stab, sprains, traffic injuries and collision / crush injuries. 60 to 69 years old to fall, sprains, cutting / stabbing, traffic-based injuries; 70 to 79 years old to fall, cutting / stabbing, traffic-based injuries; 80 years old and above to fall, sprains, traffic-based ; The morbidity rate was 0.71%, the disability rate was 86.92 / 100000. The average economic loss per case was 3530 yuan, 4.7 days per hospitalization, 32.3 days for rest and 19.9 days for others. Conclusions Injuries are common among older people in Yangpu district, with greater economic losses and serious harm, which require vigorous prevention and control.