頁籤選單縮合
題 名 | 花蓮縣秀林鄉頭部外傷調查報告:臺北醫學院學生流行病學調查團研究報告與衛生署花蓮縣頭部外傷研究報告之對照比較 |
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作 者 | 謝思民; 邱文達; 陳新源; 蔡佩雯; | 書刊名 | 北醫學報 |
卷 期 | 22:2 1993.12[民82.12] |
頁 次 | 頁133-142 |
分類號 | 415.824 |
關鍵詞 | 秀林鄉; 花蓮縣; 調查報告; 頭部外傷; |
語 文 | 中文(Chinese) |
中文摘要 | 近年來國內各方面的快速發展,使頭部外傷的問題益發嚴重且值得重視。衛生署已在花蓮縣進行過頭部外傷的調查,其方法是從醫院取得頭部外傷的病例資料(包括運送途中即已死亡的病例),故其資料僅包括有送往醫院者,且其中必有相當比例是花蓮市內的頭部外傷病例。因花蓮市的生活環境、交通狀況及醫療資源與花蓮縣中其他地區大不相同,故本調查以家庭訪問的方式,在不包括花蓮市的花蓮縣地區進行調查,所得之統計結果與衛生署報告相互對照比較,並探討其差異的意義。結果顯示,在醫療資源缺乏之處,仍有15的病人合於本研究頭部外傷的定義。頭部外傷發生比率最高的是在20到29歲及高年齡的人口,且後者的預後相當不好;交通事故皆是最主要的原因佔60,其中機車所引起的車禍佔88,而頭部外傷的肇事者92未戴安全帽。另外,工作傷害對中年以上男性,以及居家跌落對中年以上女性,也是頭部外傷的重要原因。木研究亦發現一個很重要的事實,就是在這一偏遠的小鎮,有28的病人雖符合本研究及衛生署研究頭部外傷的定義,但卻從未就醫。這在將來全國性以人口為基礎來估算頭部外傷發生率時必需注意到的一點。 |
英文摘要 | A study for head injury through home interview was carried out at Hsiulin Hsiang, Hualien County in July, 1990. This area is an isolated rural district with population 14,173 (male 7,640, female 6,533), located at northern part of Hualien County. The hospital facilities are not readily available at this small town, residents with head injury or other illness have to send to Hualien City which is 15 Km away. Over eighty percent of the residents are aborigines. Fifteen percent of cases interviewed fitted our criteria of head injury. The rate of head injury peaked at 2 stages: the twenties and above the age of sixty. Sixty percent of head injuries were caused by traffic accidents and among them, 88 were related to motorcycle use. Most patients (92) reported no wearing safty helmet at the time of accidents. The results obtained in this study were compared with the data of "Epidemiology of head injury in Hualien County in 1989" reported by C. C. Hung & W. T. Chiu under the support of the Department of Health, Executive Yuan, R. O. C.. A very important fact found in this study is that 28 of patients who fit the criteria of head injury didn't seek medical care at all. This probably would affect the accurate incidence rate estimation in the population-based study and require special attention in the future studies. |
本系統中英文摘要資訊取自各篇刊載內容。