頁籤選單縮合
題名 | 臺灣地區老人頭部外傷之流行病學研究 |
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作者姓名(中文) | 薛文寅; 邱文達; 林慧雯; 郭家英; 蘇千田; 陳新源; 白璐; 林烈生; 洪慶章; | 書刊名 | 北醫學報 |
卷期 | 24:2 1995.12[民84.12] |
頁次 | 頁22-28 |
分類號 | 412.41 |
關鍵詞 | 頭部外傷; 老人流行病學; Head injury; The elderly; Epidemiology; |
語文 | 中文(Chinese) |
中文摘要 | 臺灣地區目前已邁入老年化的社會,為了了解老人頭部外傷之情形,本研究針對老人之頭部外傷做流行病學之調查,並比較城鄉間之不同。收集了民國79年7月1日至民國83年6月30日間臺北市及花蓮縣部分醫院之65歲以上老年頭部外傷病患做為研究對象,共收到台北市病例2353例;花蓮縣635例。北市男女比為2.1,花蓮縣男女比為2.7。研究中發現,受傷原因以車禍為主,跌落其次。但隨著年齡層上升,跌落所佔比率增加。尤其在年齡別受傷原因上,北市80歲以上之男性傷者,七十歲以上之女性傷者,其受傷主因不再是車禍而改為跌落;相同的情形亦發生在花蓮縣85歲以上之男性及80歲以上之女性。花蓮縣傷者喝酒情形(10%)遠較臺北市嚴重。臺北市有 40% 車禍傷者為行人,花蓮有22%,隨著年齡增加,兩地傷者身份漸漸以行人居多。兩地大部份之傷者為輕傷(北市:66.6% 花縣79.4%);而安全帽之使用率只佔1%左右。值得注意的是;跌落情形逐漸增多,尤其是在城市地區。因此對居家以及公共場所之環境危險因子應加以防範;而交通工具方面,宣導安全褚之配戴與大眾交通工具之發展則為首要之務。老年人在頭部外傷之預後情形較其它年齡層差,若能事先加以預防,減少發生,不管在社會家庭或經濟上均可減輕負擔。同時可從本研究中了解城鄉之相異處,針對以不同之預防衛生政策。 |
英文摘要 | Taiwan has already become an aging society. In order to understand the incidence of head injury in the elderly, this study was designed to investigate the epidemiology of head injury and to compare head injury patterns of elderly people living in urban and rural settings. From July 1, 1990 to June 30, 1994, cases of head injured-elderly people were collected from 22 hospitals in Taipei City (urban) and 4 major hospitals in Hualien County (rural). A total of 2,353 cases were collected in Taipei and 635 cases in Hualien. The male to female ratio was 2.1 and 2.7 in Taipei and Hualien, respectively. Results of this study showed that traffic accident was the main cause of head injury followed by falls. The proportion of injuries caused by falls rose with the victim' s increasing in such a way that the male 80 and over and female 70 and over age groups in Taipei have falls rather than traffic accident as the main cause of head injury. A similar scenario is reflected in the male 85 and over and female 80 and over age groups in Hualien. Alcohol consumption was responsible for a larger proportion of head injuries in Hualien (10%) than in Taipei (4%). Motorcycles accounted for the largest percentage of traffic accidents in both urban (35%) and rural (67%) areas. Pedestrians were the victims of traffic accidents in 40% of the cases in Taipei and 22% of the cases in Hualien, and these rates rose steadily with me victims5 increasing age. The degree of severity of head injury was mild in both Taipei (66.6%) and Hualien (79.4%). The helmet use rate stood at a mere 1%. The rate of injuries caused by falls has been on the rise, especially in urban areas. Therefore, environmental risk factors have to be prevented both at home and in public places. Regarding traffic safety, strong emphasis has to be placed on helmet use education and the development of means of transportation. The outcome of head injury in elderly people is worse than in other age groups. If injury can be prevented and incidence reduced, social and financial burdens will decrease. The comparison between urban and rural populations performed in this study can be used to design preventive health policies. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。