深圳市西部地区手外伤特征及相关因素分析

叶林繁; 陈倩盈; 冒荣荣

doi:10.16369/j.oher.issn.1007-1326.2016.05.002

深圳市西部地区手外伤特征及相关因素分析

1. 深圳市宝安区松岗预防保健所慢性病防治科, 广东深圳 518105;
2. 深圳市光明新区疾病预防控制中心, 广东深圳 518106

基金项目:

深圳市宝安区科技计划社会公益项目(编号:2015287)

详细信息

作者简介:
叶林繁(1983-),女,大学本科,主管医师

中图分类号: X928.4
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出版历程
- 收稿日期: 2016-05-08

Characteristics of hand injury and analysis of related risk factors in the western area of Shenzhen City

1. Department of Chronic and Non-communicable Disease Control and Prevention, Songgang Institute for Disease Prevention and Health Care, Shenzhen, Guangdong 518105, China;
2. Guangming District Center for Disease Control and Prevention, Shenzhen, Guangdong 518106, China

摘要

摘要: 目的研究深圳市西部地区手外伤特征,并对发生手外伤的危险因素进行分析,为防止手外伤发生提供参考依据。方法选取2015年6月至2015年12月期间深圳市西部地区5所综合性医院就诊的急性外伤患者1 582例进行研究,观察其中手外伤发生情况,采用多因素logistic回归分析探讨引起手外伤的危险因素。结果手外伤占外伤比例为20.54%,切割伤为最常见类型,占28.92%,其余依次为挤压伤、挫裂伤、复合伤、离断伤以及其他类型损伤。多因素logistic回归分析结果显示,相比女性、≥ 25岁、工龄≥ 1年、设备良好、操作方法熟悉、身体正常、不加班、戴手套及工作空间宽广,男性(OR=1.284)、<25岁(OR=1.196)、<1年工龄(OR=1.201)、初中及以下学历(OR=1.143)、设备问题(OR=1.159)、操作不熟悉(OR=1.224)、身体不适(OR=1.201)、加班(OR=1.255)、不戴手套(OR=1.282)以及工作空间狭窄(OR=1.267)是手外伤发生的危险因素(P均<0.05)。结论在外伤患者中,深圳市西部地区手外伤发生率仍然偏高,手外伤发生影响因素较多,应针对相关危险因素,及时制定有效的预防措施,降低手外伤的发生率。
- 手外伤 /
- 危险因素 /
- 切割伤 /
- 回归分析
+ English
Abstract: Objective To understand the characteristics of hand injury and potential risk factors of occurrence of these cases in the western area of Shenzhen City. Methods The data of all 1 582 patients with acute trauma treated during June 2015 to December 2015 in 5 hospitals in the western area of Shenzhen City were collected. The characteristic of hand injury, including type of injury, the patients' demography and employment history were analyzed and the potential risks of hand injury occurrence were discussed by using logistic regression analysis. Results The cases of hand injury accounted for 20.54% of total cases. The cutting injury was the most common type,accounted for 28.92%,and the others majorly were crush injury,contusion injury,combined injury and disjoint injury. The logistic regression showed that male(OR=1.284),age <25 years(OR=1.196),employment time <1 year(OR=1.201),junior high school and below education(OR=1.143),the equipment problems(OR=1.159),unacquainted with operation(OR=1.224),physical discomfort(OR=1.201),overtime work (OR=1.255),without gloves(OR=1.282) and limited working space(OR=1.267) were risk factors for hand injuries occurrence(P<0.05). Conclusion The hand injury is major type of acute trauma in the west of Shenzhen City,and there are many factors related to hand injury occurrence. The prevention measures should be implemented to reduce the incidence of hand injury.
- hand injury /
- risk factors /
- cutting injury /
- logistic regression analysis

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参考文献(7)

[1]	易传军,李忠哲,田光磊,等. 急诊手外伤的流行病学调查[J]. 中华手外科杂志,2011,27(3):149-152.
[2]	顾伟,陈琳,虞聪,等. 职业性手外伤回归工作状况及影响因素[J]. 中华手外科杂志,2011,27(1):53-55.
[3]	福嘉欣,江毅,朱红,等. 673例成人职业性手外伤的流行病学调查[J].中华劳动卫生职业病杂志,2015,33(10):769-770.
[4]	傅阳,潘福根,叶作舟,等. 上海市青浦区工业性手外伤流行病学研究[J]. 实用手外科杂志,2013,27(1):19-20 ,28.
[5]	吴莉. 沈阳地区急诊手外伤患者流行病学调查分析[J]. 实用手外科杂志,2013,27(2):203-204.
[6]	陈淑琴,王颖,姜乃睿. 职业性手外伤流行病学研究进展[J]. 中华流行病学杂志,2013,34(12):1259-1262.
[7]	蒋顺仙,周旭玲,杨晓东,等. 手外伤的流行病学特征及相关对策[J].实用手外科杂志,2015,29(4):460-463.

施引文献(5)

期刊类型引用(4)

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2.	符传东，林丹茵，丘晓玲，孙思红，冯清，王海文，向丹. 职业性手外伤致残危险因素分析及其预防措施. 工业卫生与职业病. 2020(06): 444-446 . 百度学术
3.	冒荣荣，陈倩盈，叶林繁. 深圳某综合医院手伤害病例发病特点分析. 中国病案. 2018(06): 53-56 . 百度学术
4.	陈密密，钟娜儿，许海尔，郁舒容，李明敏. 手外科术后患者细菌感染监测及影响因素分析. 中华医院感染学杂志. 2018(22): 3470-3473 . 百度学术